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ELECI RICAL PERMIT APr�LICATIQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C�DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> %/�57�� /l.loP /�r'.0 <br /> PROJECT ADDRE <br /> Owrer Mnil P.ddress Ciry State2ip Phone <br /> Tenant MeilAddress <br /> Ciry State(Lip Phone <br /> State/Zi Phone <br /> Eleclrical Conlracior Meil Atldress Ciry P <br /> Sta�e License Number Contract Price ol Work <br /> Proposed Use o�Building Contact Person (Plan Review) <br /> Descriplion of Work ic de Done: �� %/��/ f n0 j i')��n� <br /> NOTE: PLANS FOR 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 FACILBITIE�S AND ALL�HEALTH CARE FACILITI SI PLANS WSLL BE R V EW ED BY THIS OFFI�THER <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF SI NCHESS BIOVE THE FLOOR.AW C 51-20 SEC 31pg(02TES OF TRAVEL SHA�L BE MOUNTED A ti11NIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGES OF WAC SE 20 S C�3N 6(b)4CE & FI AND N�OT L S9 THAN 36LINCHES ABOV�E THE�LOOR.IN THE REACH <br /> 1 HEFEBY CERTIFY 7HAT 1 HAVE READ AND EXAM1fINED 7HIS APPLICAT'ION AND KNOW THE SAME TO BE TRUE AND CORflECT. ALL <br /> PFOVISIONS OF LAWS AND OFDINANCES GOVEFNING THIS TYPE OF WOFK WILL BE COM1IPLETED WHETHER SPECIFIED HEREIN OF <br /> NOT. THE GFANTING OF A PEFM11IT DOES M1'OT FFESUM1IE TO GIVE AUTHORITY TO VIOLr1TE OR CANCEL THE PFOVISIONS OFANY OTHER <br /> ObIVER OF�THAS PADPERTY TO PER�FORhUHTE WOFKrFOA 6VHICH1APP�IC�ATIOONSSFMADE ANDHACOMPLYUI^✓IOTHIZ7HEaSTATE <br /> CONTF4CTORSLAW id27FCWAND29u200WAC. <br /> �' C � . �U�D�T FEE <br /> SignaWre� Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED C-D3o8 -col <br />