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_� � �I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> �" 3200 CEDAR STREET, EVEI2ETT,WA 98201 <br /> � 425-257-8810 - FAX 425-257-8857 <br /> � � .Jv SN _ <br /> PROJECT ADDRESS <br /> Owner Meil Addrees CRY stetefLiv PFwne <br /> Z�iu �a��L C-��.�e�,���.� nc -i�-K=�� �y� W� �`2 I l�3 ��lo������ <br /> TenaM Me�l Address Ciry statelZip P�^B <br /> VEc� �1� ��r�,� +'� �x��a�`l Sa ��t-t �. � ��� �1�� ad.�-�I��-5� <br /> Electrical Contrador Mail Addreas CNy Stata';a � Phorro <br /> ��c � i�ezs� a r� U � � <br /> Siate Licenss Number Contra Pri�ot Work <br /> �-1� � � � <br /> proposed Use of Buiiding Contad Person lan R view) <br /> De�xipfion of Work to Be Done: J'n�`GN z rC`'�" ` " ��"�� �� ' " � I <br /> \ �' ' �J c G, � A, <br /> ( — ��� �� � � Sq <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIt°S UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY TH� STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE I <br /> EDUCATIONAI FACILBITIES AND A L HEALTH CARE FACILITI SI PLANSIWILLE E REV EW D BY THIS OFFI OE HER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS,MC OR AC CABLE. <br /> HAN�ICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF �5 NCHEScABOVE T ECF OORAWAC 51A-20 SECB3106(�pTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLF_S AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 EC.�N 6(b� E& FI AND NOT L SS THN 36LINCHES ABO�E THE�F OORIN THE REACH <br /> 1 HEREQY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVEAU7HORITY TO VIOLRTE OR CANCEL THE PROVISIONS OF ANY OTHER STATE . <br /> '�lHIS PROPERTY 70 PEr2FORM THE WORK FOOR WH CH APPLICA ONCS MADE AND 1 COMPLY WITH THE S ATE CONTRACTORS LAW B.Y7 � <br /> RCW AND 296200 WAC. , <br /> l` �_ FEE <br /> � a `1. sD <br /> Signature <br /> ELECAP(REV 82001) <br /> �040� "�1,7 <br />