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ELE�' �RICAL PERMIT AF �LICATION <br /> CITY OF EVERETT PERMIT SERVICEa <br /> 3200 CEDAR STI�EET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � 4� s.r �� a� r��M� ,�,� , �P <br /> � <br /> PROJECT ADDRESS • � / 3 3 � s. �`� �uJ�' �r <br /> C'-�,� � � r 1',��u �, �� � �`��,1,�.� y ,��-�=-� �Ss- 3 ��� <br /> Owner Ma�l Add�4ss Ciry Slate2lp Phone <br /> yu r� � �� �7 �-5�� �� �� U4z � r�.a, � � ��.�3 d 5�I- 5Gh'7 <br /> Tenant � Mail Address City StatelLip Phone <br /> Eiectrical Contraclor Maii Address Ciry StatelLip Phone <br /> (_�'�/L��iy s S� i�l Z G. � <br /> State Li^ense Number Contract Price of Work <br /> �` -e' s( f0 t'it?C Y <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description ol Work to Be Done: � •- �1 �a cr � �`uJ t " ��`'���� w ` �� <br /> � I � CuCT— 'J.�l �� �til <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNGS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUC�ATIONA FACI LT E3 AND ALL HOLALTH CARE FACILITI SI PLANS WSLL BE REVAEV�'ED BY THIS OF i OTHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 16 NCHESSABOVE THE FLOOR. WAC 5120 SEC13�pg 02TES OF TRAVEL SHALL BE MOUNTEG A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGEB OF WAC SE 20 SEC.SN 6(b)4CE & FI AND OTTL SS THAN 36LINCHES ABOV�EU hIE�LOOR IN THE REACH <br /> 1 HEFEBY GERTIFY THAT 1 HAVE RE4D ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVERNfNG THIS TYPE OF WORK WILL BE CGMPLETED WHETHER SPECIFIED HEHEIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHEA <br /> OWNER OF�N�S PROPER7Y 70 P AFORM UTHTE WORKrFOF WH�CH A�PPLIGIT�N SSpMADE ANJHA COM LY WlTH'ZTHE STA7E <br /> CONTAACTOFS LAW 7827 RCW AND 296.200 WAC. <br /> �� C�C s� � n �'fUc��.u� 7�/S�/63 FEE 3��'�=' <br /> � <br /> � S7ignamre Dete <br /> '/ E G3 d�-r�s� <br /> ELECAP�iiEV fl20011 <br />