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� �. <br /> ELECTRICAL PERMIT APPLICATIOh <br /> CITY OF EVERETT PERMIT SERVICES � - '� �5 <br /> 3200 CEDAR STREET, EVERFT"i, WA 98201 L- bS0'?• 0 C/ <br /> 425-257-8810 - FAX 425 257-6857 � <br /> �''-��� I � - ,— <br /> �l'•� � ' . i'_ / ����T, ����. �� , _ <br /> PROJECT ADDR S , - . <br /> � /i.<. <br /> J'��(�C�i� ���1 ��'l'��1/�cl `1�'l%'/� �1t�ii'l't; l�i�'.;� > >-� � "ii/,� ��� ; : E, , <br /> ''- � Phane <br /> Ownef � M11AilAddres�� City Statc/Zip <br /> , �� / I <br /> �'�'�1` `I� / �, �:�G <br /> , , . .;�z����X_, <br /> T�f7a�l Mail Address City ' � Slale/Zip i ' ' Phone - <br /> , „ , � �����,�,� ����� <br /> � � - � �� , , -; ���� ,�=;,����; �� _� ,r�.,N �,�;;���_�r��' �i�, ; <br /> �i l �I i'�1I�1 �f(�/l � � l l <br /> Eleclrical CJn�ractor " Mail Address Cdy .�Slale/Lp Phone <br /> 1,�l� , ; �-�-,,, ,�-�:,.- � 19�� �,�,�� <br /> �lfil�'lc�( �� �y .�� ; <br /> Stale License Number Conlract Price of Woric <br /> l� l��� !,`?r'f��l <br /> Proposed Use of Building Conlact Person (P� .i Review) <br /> � �'i � <br /> DescnplionofWorktoBeDone: �������� ������ � � � ��������� � << � ���'� ���r�� ���/��� <br /> ;-Y, -�r / /r��/� (�/'iT��r' ��L�C� /'%Y�"I%'f .� `�'i'l� i E /' Jt�/S <br /> ��—=T <br /> NOTE: PLANS FOR EL[CTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STA1E OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCA IONAL FACILBITIE�S AND ALL�HEALTH CA E FACILIITIESI I'LANSIWILL BE REVIEWED BY THIS OFFICE.HER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELEGTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE3 OF WAC SE 20 SC-C.O3N06(b)4CE 8 FI AND NOT LES�S THAN 36LINCHES ABOV�E THEDL7IOT�IN THE REACH <br /> 1 HFRE�Y CERTIr"Y THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW 7HE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIOMS OF LA WS AND ORDINANCF.S GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HERFIN OR NOi, <br /> THE GRANTINv"OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OTHIS P 20PERTY TO PERFORM TOHE WOftK F�OR WHICH APPLI�ATION�S MAOE AND�COMPLY WITH THE STATE CONTRl.CTORS LA W 80� <br /> RCIh'AND 29G200 WAC. . <br /> . r /. <br /> � � <br /> � /if- <br /> ,� �!:// i/� �C FEE <br /> � � Dale <br /> J SignaWm <br /> ELECAP�REV BI2dJ1) <br /> �C��'�-G�`-I <br />