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.—� ! - <br /> ELECTRICAL PERMIT APPLICATION <br /> I CITY OF EVERETT PEFtMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> I425-257-8610 - FAX 425-257-8857 <br /> �2 � s y�✓1.�.� � P��.y r�o z�q-�33 <br /> PROJECT ADDRESS <br /> /,a-,�,s-,.2� �-�-�. � ✓�s� L.) �- ���3 <br /> Ownei � Mail Address Ciry StalefZip Phone <br /> I., �/�. b� f ��7� i /5� 7 Nr, /�G�� �' - ,�z�//' �if <br /> — , <br /> Tenant Mail Addross Ciry StalefLip Phone <br /> 1;�� ��c � 2( � 19 � Zv� �.. S� it. /�. l/ 5.��z/ <br /> E�eM��cal Conl aGor Mall Address City Stale2ip Phone <br /> U�� �� _ ���sz 3 <br /> �v � <br /> State License Numher Contract Price ot Work <br /> �Cz.t.J I�--vi�i" '�vL e'�S2 -f2G <br /> �� ���'/9�s�t - �//f%�t�/ J� ••�� H�-St.. S <br /> Prnposed Use o(Buiiding Contact Person (Plan'Review) <br /> Description o(Work to Be Done: �U �A'- .-C� +-�-<-�� <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 /> EDUCATIONA FACIIBITI S AYD A L HEALTH C E FACILITI S PLANS WILL E REVIEWED BY THIS OFrICETHER <br /> NOTE: WIRING IN NON-DWELLINGS{S REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMU�ICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> �F 75 INCHES ABOVE THE FLOOR. IVAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUINMENT VNTHIN <br /> RANGES OF WAC 5E 20 ECL�3N 6(b)4 E 8 FI AND NOT LESS THANv 6LINCHES ABO�E THE�F OIOR�N THE REACH <br /> 1 HEI'E6Y CERiIFY TFIA7 I HAVE READ AND EXAMINED 7HIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. PLL <br /> PROVI�IONS OF LAWS AND ORDINANCES GOVERNING iH15 TYPE OF V.'ORK WILL BE COMPLETED WFicTHER SPECIFIED HEREIP!OR N07, <br /> THE G;lAN i ING OF A PERMIT DOES NOT PRESUME 70 GIVE AUTHORI7Y 70 VIOLATE OR CANCEL THE PROVISIONS OF ANY O7HER STATE <br /> �HIS PROPER�Y TO PERF'ORM T�HE WORK ORWHICH APPLICATION S MADE�AA'Da1 CJrNPriY LVITH iHE S A TE CONiRAC ORS L�V B�27 <br /> RCW AND 296200 WAC. <br /> � � //,� q-v� FEE � ,, � � D <br /> � � <br /> Signature <br /> �U Dale <br /> ELECAP(REV8R00 � <br /> ��''.�� � �3�/-a9� <br />