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� ELECT�ICAL PE(�MIT pP�'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> a' 3200 CEDAR STi�EFT, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �01� JxFf��sou h'L <br /> PROJECT ADDRESS <br /> %,�1.�.�2s�N CO tiSl -- <br /> Owner Mail Address City State2ip Phone <br /> TenaN � Mail Address City State2ip Phone <br /> � (�IN� ` G�CTIvC <br /> Electrical Con,racto Mail Address Cily State/Zip Phone <br /> /�j < (�I IJ � C d 0 3 N � <br /> State License Number Contract Price of Work <br /> cS � K <br /> Proposed Use of Building Contact Person (Plan Revievv) <br /> Description of Work to Be Done: N �� Sf n-- �d� �n�� ���V�� — <br /> NOTE: PLANS FOR ELECTRICAL \NORK AT EDUCATIONAL, F.4CILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> E UCAT ONAL FACI BEFO AND ALL ,FALTH CARE FACILIITI SI PLA S WSLLE E REV EWED BY THIS OFFICE.HER <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWA'(S, MC ON AC CABLF. <br /> tiANDICAPPED ACCESSIBILITY: ELECTRICAL AND COfv1MUNICAI'IONS SYSTEM RECEPTACLES ON WALLS <br /> O 1SI WCHESSABOVE THE FLOOR.AWAC 5120 SEC 31p6(�2TES OF TRAVEL SHALL BE MOUNTED A MI�lIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESIOF WAC 5E 20 SEC. 3N 6(b)4CE & FI AND OUTLE�THAN 36LINCHES A80�THE FLOOR IN THE REACH <br /> I NERE9Y CLHTIFY THAT 1 HAVE READ AND EXAMINED i H1S APPLICAi IDN AND KNOW THE SAME TO BE 7RUE AND CORRECL ALL <br /> PFOViSIONS JF L1 WS AND ORDINANCES GOVEFNING THIS 'fl'PE OF WORK WILL BE COMPLETED WHETHEfl SPECIFIED HEAEiN OR <br /> NOT. THE GRANTWr OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL.47E OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> STATE OA LCCAL LAW FEGUWTING CONSTRUC�ION OR 7HE PEFFOFMANCE OF CONSiFUCTION. THAT I AM AUTHOAIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFOF61 THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STA7E <br /> CONTRACTOFS LA'rV 78.27 RCW AND 29P.200 WAC. <br /> :/%'�i���� 7-5- �3 FEE �� 00 <br /> ' �Signal��re �, � Date <br /> Eo 3rr7-D�a <br /> ELECAP(REV B12C�01) <br />