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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEGAR STRE'cT, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �7 C�� /`/Ctcl I 1/7 ��� �LF�d.F�G7' C.tJ/k 'l''/� Z C�� <br /> � CYzr) � S'�f - fa �o <br /> PROJECT ADDRESS ��.k t <br /> �� - • Zo �� b c � � G �Q <br /> Owner � Meil Address Ciry Stete2lp �°^, <br /> Tenent MeilAddreas Cn1' �°�� 3G�)�S) <br /> %'6 � ,yfL /�.3�DS /f�? /�c,� .vE it�ctuedfl�f cc1 2 �4 L <br /> Electrical Contractor � Mall Addreas Ctty tete/Zip �"° <br /> .Y !�G� I�f E' � /�� Contract Price ot Work <br /> " Sta License Number CYZ�) }sy-sa e4 <br /> �Q !)!� TGe ��Pl <br /> Proposed Use of Building Contect Pereon (Plan Review) <br /> Desc�iption of Work to Be Done: �v�D�� �m��� � <br /> � <br /> f�' i�� p,�iP�lv�d D p <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> E UCATIONA FACIUTIES AND LL�EALTH CARE FACILITI SI PLANS WSLLEBE R VAEWED BY T�S OFFICETHER <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 19 NCHESSABOVE THECFLOOR.AW C 5120 SECI 3706(�2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE3 OF WAC 5E 20 SEC.9N 6 b)4CE 8 FI AND NOTTLESS THAN 36 I CHES ABO EUTHE FLOOR IN THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINEO THIS APPLICATlON AND KNOW THE SAME TO BE TNUE AND CORRECT. ALL <br /> PROVISIONS OF U1WS AND OHDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETNER SPECIFlEO HEFEIN OR <br /> NOT. THE GRANTING OF A PEHMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROV�SIONS OFANY OTHEF <br /> STATE OR LOCAL 1AW REGULA7ING CONSTRUCTION OR THE PEHFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOIi1ZED BY THE <br /> CONTRA I,O S'SWRg2�RC AND�200WAC.E WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W�T1'� T1iE STATE <br /> i <br /> � � <br /> ; , � � � FEE <br /> Signe ure- Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACC� ED ���� /��� <br />