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ELECT� ,�CAL PERMIT APF _ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � 5// . � I� 1� �. D <br /> PROJECT ADDRESS 2 f 8—lc YY 2 <br /> IC.� il y S��`���Y,�,c� si0� F' vjRE�-r �v� <br /> OWnef <br /> Mail Address Ciry Stete/Zip Pho�e <br /> �— C_ y�� '3PhoneGsy�' <br /> Tenant Mait Address City State/Zip <br /> /'� C/f�0/ - 75'�•� 7JS <br /> �l.I ���/�c�T7' �l �Ci 17 f 3/-/a c V/ ./� <br /> Electrical Contractar <br /> Mail Address C�ry StalelZip P� <br /> { �/S?�U <br /> Stale License umber <br /> Contract Price of Work� <br /> S �r1� — SI� � /�- �/,(��E�Lt��/�� _ <br /> Praposed Use of Building Contact Person (Pten Review) <br /> Description of Wark to Be Done: G� � � i� SfR i` '� '��`�' '�V U� <br /> !d ia n C�i-r�s' 9L s�v r�,� ,� � /` (91v� �lr.°l/-i ��h,�c r _ <br /> n � �� . <br /> � <br /> ;at' r� i��� d�l �U �/, �� l--G� ;�v �r, <br /> NOTE: PLANS FOR EIECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILI7ING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUC�TIONA FACILBIE S AND ALL�EALTH CARE FACILITI SI PLANS WSLL BE REVAEWED BY THIS OF I ETHER <br /> NOTE: W IRING IN NON-DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5I WCHES ASBO E THE FLOOR.AWAC 5120 SEC13 jp6(OpTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGE6 OF WAC SE 20 SEC.�N 6(b)4CE 8 FI AP D OT LE S THAN 36 INCHES ABOVEUTHE�F OOR IN THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW TIiE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFlEO HEREIN OR <br /> NOT, THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIJLATE OR C.INCEL THE PROVISIONS OF ANY OTHEH <br /> STA7E OF LOCAL I.AW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. THAT!AM AUTHORIZED BY THE <br /> �ONTRACTORS'LAWF8.27RCWAND296200M1WAC.E WORK FOR WHlCH APPLICATION IS A1ADE AND 1 COMPLY WITH THE STATE <br /> /l�/ Ul//���^�l � %U ' /2 �C / FEE ��cAT� <br /> �-� ' Date <br /> Signature � O Ilo �� I <br /> ELECAP(REV 82001) <br /> � <br />