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:� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610 - FAX 425-257-8857 <br /> �„ �-� �' �J���i��ef� l�'�1 <br /> P OJECT ADDRESS <br /> hui Ic�t`y� .�nV Ci✓�v/� J-'?��2��Jf�ll�`�'i����i�'N �l'E/E1��s1��� �.:5 �79 Z8� <br /> Owner fAailAddress City � Slate2ip Phone <br /> � � � l,lYl.l CL'd J�'�-4�011{ ,J <br /> �Ui l�!'�5 �/1 i�. �r� ( SC ' / c <br /> Tenanl MailAddress Cily Slale2iD Phonc y�J <br /> � ��"�iflil ��P��'/�C �nc ��l�,l�� l��'��Sf Sv✓�/� Ju�?rlux�l �Uf'r I�PCB'� �y�-r}�SG <br /> Elecirical ConlraC,or Mail Address City � Slale/Lp Phone <br /> �1�1g�'rL'�I�X�X��� _�, ' � <br /> Slale License Number Conlract Price of Work <br /> �� <br /> �� �ict��;� �%�fir;, ��n'��. <br /> Proposed Use o(Building Contact Pcrson (Plan Review) <br /> Descnption of Work lo Be Done: �'(" ��� X ✓U�CL v,' "'1 _ <br /> NOT[: PLANS FOR CLECTRICAL WORK AT [DUCATIONAL, FACILITIES UTII.IZING STATE FUNDS MUST BE <br /> APPROVED Bl' THE STATE OF WASFIINGTON. APPLICANTS WITH SUCH �OBS MUST SHOW THE STATE <br /> EDUCATIONAL FACILBITIE�S AND A L HEALTH CA E FACILITI SI PLANSIVJILLE E REVIEWED BY THIS OFFICE HER <br /> NOTE: WIRING IN NON-DWELLINGS IS ftEQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYST[M RECEPTACL[S ON WALLS <br /> WITHIN ACCE�SIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCIiES ABOVE Tf 1E FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHEf': CONTROL RECEPTACLES AND OTHER OPLRABL[ EQUIPMENT WITHIN <br /> RANG[S'OF WAC 5E 20 SECLON 6(b�E&FI A D NOT LES�S THANv 6LINCHES ABOVE NHE�F OORIN THE REACH <br /> 1 HERE�Y CERTIFY TliAT 1 HAVE RE�D AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAIh'S�NO ORDlNANCES GOVErNING Tf�IS TYPE OF WORK WILL BE GOMPLETED WHETHER SPECIFIEO HERF_IN OR NOT, <br /> THF GRANTING OF A PERMIT DOES NOT PRESUMC TO GIVE AUTHORITYTO VIOLATE OR CANCEL TNE PROVISIONS OF ANY OTHER STATE <br /> T�HISPR)PERTY OPERFORMT�HEWORKFORWHICHAPPLIOCA ON�SMADEANDRCOMPLYNiHTHEST E�CONRACTORSLAW18.�27 <br /> RCW AfJD 29fi 20L WAC. <br /> , �_`��L'tai�i • �L � <�!_ ��� � �� FEE � <br /> � Date � <br /> '�� SignaWrc <br /> ELECAP�REV 8�2001) <br /> i l`>�OS-I �+-� <br />