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ELEC IGAL PERMIT AP`�LICATION <br /> CITY OF �VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> i��� I�� -f'f�u'�I[.. �U� <br /> PROJECT ADDRESS 7%07 EoG� !}�7E `� ���' <br /> 5 r.���a-� Rr� ��-r�t,� �.t� � �v� �Bzc� <br /> Owner Mail Address City StatelLip Phone <br /> K�n�ax <br /> Tenant Mail Address City Stete2ip �z Phona <br /> =ra.�r� E�crzic i�o i'nX ��/Gr� F✓�z� ��4 98Z13 2sz-�3/� <br /> Eleclrical Contractcr Mail Address Ciry State2ip Phone <br /> i-r;i:��, ' G2:4/✓!El Z�/�� /OQ�� <br /> State License Number Contract Price ot Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: /�ELG�'��TF L /(�� ��/iCtYES `t'°�� C�/�ufr$ <br /> la��- �N ��,,rr7 <br /> NOl E: 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 /> EDUC�ATIONAL FACILITI S AND ALL�HEALTH CARE FACILITI SI PLANS WSLLEBE R V EWED BY THIS OFFICE.HER <br /> NO?E: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OF AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICA� AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 1b NCHESSABIOVE THE FLOOR.AWAC 5120 SEC 3106(02 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�3N 6(b)4CE & FI AND NOTTL SS THAN 36LINCHES ABOV�Eu HE �LOOR.IN THE REACH <br /> I NEFEBY CERTIFY THAT 1 HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETEO WHETHER SPECIFIED NEREIN OR <br /> NOT, THE GRAN7ING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONS7RUCTION OR TH[ PERFOAMANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZEO BY THE <br /> OWNER OF THIS PROPEFTY TO PEFFOFM THE WOFfC FOR WHICH APPLICATIDN IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS L4W 78.27 RCW ANO 296200 WAC. <br /> � <br /> � / '��L�� .'! - �������� FEE � _ <br /> Signature Date <br /> DEBIT&CREUIT CARDS ARE NOT ACCEPTED � I zO� 'O7'j" <br />