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o �' <br /> ELECi'�ICAL PERMIT AF�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> y��os G�� ��,-� �oN� <br /> PROJECT ADDRESS <br /> - � �—Q t 7� 2r S�cvl.e- �v� � <br /> Owner Mail Address :iry State2ip Phone <br /> Tenant �✓ �� Mail Address Ciry Sta�e2ip Phone <br /> S��Gur�` E(pc�r,-t� yCd3-s�u�rl�l-1�e Ec�eire-7�` Lu�, 9R"1� / �s�-�gg�- <br /> Electrical Contractor Mail Address City StatelZip Phone <br /> SEA�-Iu�2o99c�N � /700.on <br /> 3tate License Numbar Contrac Price ot 1Nori, <br /> .�lCc-S/Q"P,n/i.2._ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descnption af Work to Be Done: /�pt� /L/-�t.h l�dS-2 — <br /> NOTE: PLANS FOH 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 /> EDUCATIONAL FACILBITIES AND ALL H�EALTH C RA E FACILIITI S�PLA S WSLLE E REV EW[D BY THIS OFFI OTHER <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HAP'DI('APPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> W I'i H° I ;CCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF .� .,JCHES A80VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHcR CONTROL FECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC SE 20 SEC.�3N 6(b)4CE 8 FI AND OUT LES�S THAN 36LINCHES ABO E THE�LOOR IN THE REACH <br /> 1 HEREBY CEATIFY THAT 1 HAVE READ AND EXAh11NED THIS APPLICA7fON AND KNOW THE SAME TO 9E TR�'E AND CORRECT. ALL <br /> PpOV1SIONS OF LA WS ANO ORDINdNCES GOVERN�NG THIS TYPE OF WOFK W1LL BE COMPLETED WHETHER SPECIFIED NEF.EIN OR <br /> NOL THE GFANTING OF A PERhfIT CCES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISlONS OF ANYOTHER <br /> OWNEF OF�TH�IS PFOPERTY TO PEAF AMUTHE�WOFKrFOREWH�CH�APPLICATIONSSAMAOE AND ACOMPLYUWI�HIZTHEBSTATE <br /> CONTRACTORS l AW 78.27 FCW AND 296.200 WAC. <br /> FEt � ,� <br /> �,,,V, �1',- ��, 9- 2-9-a� _ 35 , o0 <br /> Signature Gate <br /> ELECAP(REVfl2001) E o3�9-�� <br />