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ELE�;TRICAL PERMIT %PPLICATION �i <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��_� �� /Y'�`!'�P �v� � ��/PY'Fi�/, -r� v4- cl �' %}�C>> <br /> PROJECT ADDRESS <br /> Owner Mail Address Ciry State2ip Phone <br /> T0n8t1( Meil Address City Stele2ip Phone <br /> �Ccu• ,/ L`Ir���,�. - ��a�r •i����..e /�'� //�cr�.� i �,�/�n , cu� �� dZ=l � <br /> Electricai ContreClor Mail Address Ciry ` Slete2ip Phene <br /> ��Cc� G s/_z ,9z � <br /> �Gwc' ✓-C'�` �/� � o.� <br /> State License Number Cantract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: (J�i 2( �i C i� S t ,�i rC/ /JC J Zf-� �G'1G �zl/� <br /> r <br /> c�- /�/ r-�o�L-!'' <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 FACILBITI S AND ALL�HEAETH CA E FACILITI SIPLANS WSLLE E R VIEWED BY THIS OFFI OTHER <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> WITHIN ACCESSIBLE SPACES OR ALONG IACC SS B E ROUTES OF�RAVEL SHALLBE MOUNTED �MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL HECEPTAt,LES AND OTHER OPERABLE EQi11PMENT WITHIN <br /> RANGE9 UF WAC 5E 20 SEC.SN06(b 4CE& P AND OT L S�S THAN 36 INCHES ABO EUTHE�LOOR�N THE REACH i <br /> � <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE THUE AND CORRECT. ALL y <br /> PFTOVISIONS OF LAWS AND ORDINANCES GOVENNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OF <br /> NOT, THE GRANTING OF A PEAMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOCATE OR CANCEL THE PROVISIONS OF ANY OTHER V, <br /> STATE OR LOCAL LAW REGULA ING CONSTRUCTION OR THE PF.RFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE � <br /> OWNER OF THIS PFOPER�O �FORM THE WOFK FOR LNHICH APPUCATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1P.27 ACW f� 6.200 WAC. <br /> ;. �_�. ! <br /> � � � f <br /> � ���,(/ I U�� � ��� � FEE � <br /> siqnature �: _ � oate j <br /> DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED <br /> F�3o5-��t, ' <br />