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. , � <br /> ELEC�. RICAL PERMIT Ai- r�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � 1��; �,� � <br /> PROJECT ADDRES /J�p� � <br /> ' � ' f O���-'� <br /> �o/�' i CI � � l�� S�t.x.- ��a-�� GU�' , <br /> Owner Meil Address Ciry State2lp Phone <br /> Tenant Mail Address Ciry StatelZip Phone <br /> Eleclrical Contractor Meil Address City Stete2ip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Buiiding Contact Person (Plen Review)� <br /> Description of Work to Be Done: �2��� �' ��v� � ' " Gv ' ��`� �� <br /> �!i l :�v.�S <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 UCATIONAL FACILBITI S AND ALL H�EALTH CARE FACILITI SI PLANS WSLLEBE R VAEW ED BY THIS OFFI OTHER <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 16 NCHESSABOVE THECFLOOR.IN�AC 5120 SEC 3106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGES OF WAC SE 20 SEC.�3N06(b)4CE & FI ANDR OTTLE S THAN 36 INCHES ABOVEUTHE�LOOR.IN THE REACH <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHEA SPECIFIED HEREIN OF <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL iHE PFOVISIONS OF ANY OTHER <br /> OWNER OF�THIS PROPERTY TO PEROFORMU HE WORK FOREWHI�CH APPLI�ATIO�NSSRMADE AND ACOMPLYUWl�H�ZTHE STATE <br /> CONTRACTORS LAW 78.27 FCW AND 296.200 WAC. � <br /> ^ i <br /> i ' <br /> �� �/, ' � FEE <br /> �. N;��, �'(,v�,t,^� �Q � /�, O� <br /> SignaWre Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED E d3�G-�8 CO <br />