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ELECI� . {ICAL PERMIT AP'� LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 1,1Z � uI�i�o/� <br /> PROJECT ADDRESS. <br /> � ya� <br /> Cit State2ip Phone <br /> Owner Mail Address Y <br /> �� ,4 �Ne-°(��'�;�h / zzz 7 w�Y-�zr ��E . <br /> Cit State2ip Phone <br /> Tenanl Mail Address Y <br /> �� �3 0��3 <br /> ��� State2ip Phone <br /> Elec�rical Con�raclo� Mail Address Y <br /> Contract Price of Work <br /> State License Number <br /> — Contact Person (Plan Review) <br /> Proposed Use of Building <br /> Description of Work lo Be�one: �l)S��/C7� . <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILI2ING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS �N�TH SUCH JOBS MUST SHOVV THE STATE <br /> EDUCATIC�NAL FACILBITIE�S AND ALL�EALTH CARE FACILIITIES PLANS WSLLE E REV EW ED BY THIS OFFI OTHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5I NCHESSABO E THE FLOOR. WAC 5120 SEC 3 106(02 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGEB OF WAC SE 20 S C�3N 6(b)4CE& FI AND N�OT LES�S THAN 36LINCHES ABOV�EUTHE�OOR IN THE REACH <br /> 1 HERE6Y CERTIFY THAT I HAVE READ AND EXAMINEC THIS APPLICATIDN AND KNOW THE SAME TO BE TFUE AND CORflECL ALL <br /> PFOVISIONS OF L�i WS AND OFDINANCES GOVEn'NING THIS T}'PE OF WORI( LNILL BE COMPLETED WHE7HER SPECIFIE� HEREIN OR <br /> $�ATEOR LOCALNLAW FEGUL7TING CONSTFUCTION OR THE PEFiFOFO�ANC�OF CONS�RUCTION.L THAT��M A'UTHORIZED BY fHE <br /> OWNER OF THIS PROPERTY T PEFFOFM THE W FK FOF bNHICFI APPLICA710N IS MADE AND 1 COfviPLY WITH THE STATE <br /> CONTRACTOR� 7R 296.200 AC. <br /> FEE <br /> � <br /> SignaWre Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �U ?v� -09 Y <br /> J <br />