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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> I — <br /> ��1'� IDY) �Ill�2� <br /> PROJECT ADDRESS '1 3� ,��,m,� pI �VC1'�1 1 v`�� <br /> Mr �r�d I�- ' uMiS Cd State2ip Phone <br /> Ov.ier Mail Address Y <br /> ity Slate2ip Phone <br /> Tenenl MailAddress ' c <br /> C�ES E��}"v'y r 3�� �l,►� Ia Seaf��c 1,11l� 9$10"� <br /> ���y StalelZip Phone <br /> Electrical Conlraclor Mai' `.ddr=ss � <br /> ���i r �n�2 NG �Q�O- �o <br /> CContract Prica of Work <br /> State License Number . <br /> KC�S�G�G� — v��l'-'�"""""� ContactPerson (PlanRevie�N) <br /> Proposed Use of uilaing v <br /> t n <br /> Description of Work to Re Cane: <br /> �x ov,�i�r�. [��fP�'�Id�P• "" I�P� .���- <br /> � � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCAl10NAL, FACILITIES UT!LIZIMG STATE FUNDS �v1UST BE <br /> APPROVED PLANSEBEFORE CITY OFHEVERETT PERM TAWILL BEHSSUED.J V�/ACM 96-06-H OW ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE RE`✓IEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RAC'�WAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNIC�4TIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 15NNC ESSABOVE THE FLOORAWAC 5120 SECB31pROZTES CF TRAVcL SHALL BE MOI�NTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLFS AND OT�+ER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 ECLON�G b)4CE 8 FI ANDRN�OT LES�S THAN 6LINCHES ABO�E THE�F OORIN THE REACH <br /> PROV S�ONS OF/LA WS AND ORDINANCES GOVERNIN'GETDHISHTYPE OF WORK W�LL 6E COMPLETEO WNETOHER SPECIFIED k RERN OR NOT, <br /> I THE GRANTING OF A PERMI i DOES NOT PRESUME TO GIVE AUTHORITY TG VIOLATE OR C/.NCEL THE PF,OVISIONS OF ANY OTHER STATE <br /> �THIS PROPERTY 70 PERFOF�Id THE Lt CR rFOR WHICH APPLIOATIUN IS MADE AND�I COiMPLYWITH THE STATE CON RACTO S LA W 80� <br /> RCW AND 29G200 WAC. <br /> �/O� FEE <br /> Date <br /> Signat e <br /> 1ECAP'FE':'8R00�) E�.�jQ�—IL�'� <br />