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� <br /> � <br /> ELECT .�CAL PERMIT APF�ICATION � <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX 425-257-8857 � <br /> I <br /> 4�z� �u�KFe Av� � <br /> PROJECT ADDRESS <br /> Jor' f.t,+r�S�rv yzs zs7—OS38 <br /> Owner Mail Addtess City Stete2ip Phone <br /> � <br /> Tenant Mail Address City Slate(Zip Phone I <br /> /�fcLlti�' ��c,��2t.C. ' <br /> Electncal Contractor Mail Address i St t !Z� Phone � <br /> /ti� C� t!�.� ��0 3 N J' ' <br /> State License Number Contract Price ol Wark <br /> Proposed Use of 8uilding Contect Person (Plan Review) <br /> Description of W ork to Be Done: R�'H� C�T'� j-x S��'�C� � Z 5 ��� <br /> LoAD C'�'?�/L — <br /> /'tllD � — VR�Uua.,� C1TL�tA1) <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 FACILBIT ES AND ALL H�EALTH CARE FACILITI S'PLANS WSLLE E REV EWED BY THIS OFFICETHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 75 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESIOF WAC SE 20 SEC.SN06 b)4CE & FI AND N UT L SS THAN 36LINCHES AB V�EUTHE�LOOR IN THE REACH <br /> 1 HEFEBY CER7IFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TNE SAME TO BE TpUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br /> OWiJER OF�HIS PROPERTY TO PEF�ORMUTHTE WORKTFOREWH�CH APPLICATIONSSRMADE AND ACOMPLYUWlTHIZTNE STATE <br /> CONTRACTORS LAW 7827 ACW AND 296.200 WAC. <br /> � - �_ 3, p PEE <br /> nature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �� ,����_� ( / <br /> 7 <br />