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I ELEC' . RICAL PERMIT AE �LIGATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - C�AX 425-257-8857 <br /> I <br /> �, � <br /> - -i�� ��3c`l Zn > l�R� S (-. <br /> PROJECT ADDRESS <br /> � . I � �/Z.i -s3`)��%t ��1 � <br /> C ' i T,J� �'z9G �� �rr! �rl/� �"i ,c7 i� "�� <br /> �'i`� ':..� '�;;r � � ,'��N.r ti 3�" <br /> —' CiI St�telZip Phono <br /> t � <br /> Owner Mail Atldress Y <br /> Tenanl <br /> M11ail Address City Slato2ip Phanc <br /> Cit State2ip Phane <br /> Elecirical Contractor Maii AJtlress Y <br /> State License Number Conlract Price ol Work <br /> Pmposed Use o�Building Conlacl Person (Plan Review) <br /> .-� `� <br /> ` i. - <br /> Descriplion ol Work to Be Done: �i�<�1 �l i� � - ' f � - <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WA3HINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONAL FACILBITIE�S AND ALL�HEALTH CARE FACILITI SI PLANS WSLLE E REV EWED BY THIS OFFI OTHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRFD TO BE IN RACEWAYS, MC OR AC CABLE. <br /> FfANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OFT15I NCHES ASBO E THE FLOOR.AWAC 51A-20 SEC 3�as 02 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> E�,rCES�SNBLENSPACES OFi ALO G A�CES3IBLE ROUTES OF TRAVDELOSHA L BEPMOUNTED W TIH NETHE REACH <br /> RANGES OF WAC 51•20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> �cFEBY CERTIFY 7HAT I kAVF. FE.AO.AND EXAM1IINED THIS APPLICATlON AND KNOW THE SAME TO BE TRUE AND COFRECL ALL <br /> ���VISIONS OF LAWS AND ORDIh'ANCES GOVERNING TNIS iYPE OF IYOFK 149LL BE 'Oh1PLETED IVHETHER SPEClFIcD HEREIN OR <br /> ' THE GF4NTING OF A PEFMIT DOES A10T PFESUh1E TO GIVE.7UTHOFITV TO VIOLAI c OR CANCEL THE PFOVISIONS OF ANY OTHEA <br /> ;7E OR LOCAL LALl'FEGUL4TING CONSLFUCTION OR THE PERFCRI.fANCE OF CON57AUCTION. THAT 1 Ahl AUrHOFIZED BY THE <br /> ',�`:ER Cr 7HIS PFOPERTY TC PEFFOFhI THE WOFK FOF WHICH APPLICA710N IS iYfADE AND I COMPLY 1t77H THE STATc <br /> ;�,^iJin^n'C70n^SI.r7lN1H27FCWAA'D✓n.200L1'AC, <br /> FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED � ,';� �j�- ('<��-� <br />