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� <br />ELEC�C;�ICAL PERMIT A�'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320J CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />—' d �� V'1'C�/Nl/1 AV� _ <br />PROJECT ADDRESS <br />" � �' lJ�ti/� /�tl i1�� .S //�/ �- <br />State2i Phone <br />Owner <br />Tenant <br />Mail Address <br />Mail Adtliass <br />City <br />City <br />P <br />Siate2ip <br />Phone <br /><<,/•vi Fu-Ci.�lL �� �/vC <br />Electrical Coniractor <br />MailAdtlress City Stato2ip Phone <br />_�iLc,in�E�oo 3ti� <br />State Licensa Number <br />S f� <br />Proposed Use ot BuilCing <br />Coniract Price of W ork <br />;ontact Person (Plan Review) <br />Description cf Work to Be Done: ��(.)/�� ���-%� Sf� �' ZU 0 ����� �i'��V��J� <br />NOTE: PLANS FOR ELECTPICAL WORK AT EDUCATIONAL, FACILITIES UTIUZING STATE =UNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICA�JTS WITI+. SUCH J08S MUST SHO'N THE STATE <br />EDUCAT ONAL FACILBITIE�S AND ALL �HEALTH CARE PACILITI SI PLANS WSLLEBE REVAE'JJED 6Y THIS OFFI OTHER <br />NOTE: WIRING IN hON-DWELLINGS IS REt]UIRED TO BE IN RACEWAYS, �AC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL P.ND COMMURICATIONS SYSTEM R�CEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG HCCESSIBLE rlOUTES OF TRAVEL SHALI_ BE MOUNTED A MINIMUA4 <br />UF 15 INCHES ABOVE THE FLGOR. \NAC 51-20 SEC. 3106(�)2. <br />ENVIROPJh1ENTAL AN^ OTHER CONTROL RECEPTACLES AND OThIcR OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC 5E 2i�SEC.�N 6(b)4CE & FI AND OT L S3 THAN 36�INCHES ABOV�E THE �LOOR IN THE REACH <br />1 HEFE9Y CERTIFY iHAT 1 HAVE RCAD AND EX.4h1WED THIS �PPLIC.:TION AIJD KNOW THE SAME TO BE TRUE AND CORFECT ALL <br />FFOVISIONS OF LA4V5 AND OFDINANCES GOVEFNING 7HIS TYPE OF WOFK Wi:L BE COMPLET�D WHETHER SPEClF7ED HEFEIN OF <br />NOT, iHE GRANTING OF A PERMIT DOES NOT PFESU�dE TO GIVE AUTHOFI'(Y TO VICL7TE OR CANCEI. THE PFGVISIONS OF ANY OTNER <br />STA7E CF LCCAL LA W FEGULAT'h�G CONSTFI,�CT10N OR THE PtFFORMAfJCE OF CCNSTRUCTIUN. THAT 1 AM AUTHORIZED 6Y THE <br />OWNEF OF TNIS PFOPEFTY TG FERFOFM THE WOFK FOR N'HICH APPL;c.anoN IS NADE AND I COMPLY WITH THE SrATE <br />CONTRACTGFS LAW 1827 FCW AND 296200 WAC. <br />.�f <br />re <br />ELECA?IREV dr2C��' I <br />3 -y�-o3 FEE� �, pQ <br />Date <br />Fa3�3-riq <br />