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��, ELE� TRI�:AL PERMlT �, 'PLICATION <br /> ���� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � ; <br /> /� �' � �/�t� �'�/ �,; -- <br /> PROJECT ADDRESS / ,� � <br /> 2 ,I >Z�,..�L � .Z �� ��� !(��,��if.[.).i/DG� G✓/j':• �q�19Z a5✓�-'�L�,;�fI1Z <br /> Owner Mail Address City S[ate2ip Phona <br /> Tenan� � Mail Address Ciry StatelLip Phone <br /> Electrical Conlractor Mail Address City State2ip Phone <br /> Slate License Number Contract Price of Work <br /> h��,✓��/ <br /> Propos'ed Use of Buildirg Conlact Persan (Plan Review) <br /> Description of Wark ro Be Cone: n�n d/� �i �`If�� � �'oR.clE./1 �f ��kf� <br /> �u.�/.v�.J� ,/%e`� L �/C� �/�/�'1 L✓��fflG� fTfAd Ti��i(l�l[C+/� /�'lLf.C6L <br /> "�7 /�GIGIo�/�� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 8E <br /> APPROVED BY THE STATE OF 1NASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS E'�r=ORE CITY OF EVERETT PERMIT N�ILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAI FACII i71ES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMUIUNICATIONS SYSTEM RECEPTACLE3 ON WALLS <br /> OF 16 NCHESSABOVE THE FLOOR.AWAC 5120 SEC 3 106(02TES OF TRAVEL SHALL BE MUUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE9 OF WAC SE 20 SEC.�N 6(b)4CE & F�AND OT L SS THAN 36LINCHES ABO E THE�LOOR IN THE REACH <br /> I HEREBY CERTIFY THAT 1 HAVE FEAD AND E.'CAMINED TH75 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PFOVISIONS OF L7 WS AND ORDINANCES GCVEFNfNG THIS T1'PE OF WORK WILL fiE COMPLETED WHETHER SPECIFIED NEREIN OR <br /> lJOT, THE GP..7NT/NG OF.4 FF.FMIT DCES NOT PRF_SUME TO GIVE AUTHORITY TO VIOL.ITE OR CANCEL THE PROVISIONS OFANY OTHER <br /> STATE OR LOCAL L7W FEGUL4TIN3 CONSTRUCTION JR ThE PEFFOFMANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNrF OF TNIS PFOPEFiY TO PEAFORM THE WOFK FOR WHICH APPLICATIDN IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 78.D FCW AND 296.200 WAC. <br /> =_��7�� `/ /�_���Z FEE <br /> 11 <br /> naWre Date <br /> EIECAP(REVBR001) r^1 ^ /� ��// <br /> i—V 0 <br />