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ELECT�'ICAL PERMIT AP��'�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32 i0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> a�o3 �a�h5+ <br /> PROJECT ADDRESS , `"{�'S <br /> �'v• Tf' �'ousi .uC, �uTHc�¢�Ty ,310�' Co�P�`� �' vet-p�Ci�WA �lga.o { Sol-5(�c,l <br /> Owner Mail Address Ciry Slate2ip Phone <br /> � 1{ � <br /> Tenanl � Mail Address City Slate2ip Phona <br /> ivr��ac�;L �G�zT�'i� Po ��� 3a� s - p-2uN�To� wr! 9�zz 3 ��o �5-5 3F�/ <br /> Electrical Contractor <br /> Mail Address City State2ip Phone <br /> � z�=�- v�z�z a 3�5�'� <br /> 1�vT�� <br /> State License Number Contract Price of Work � <br /> �n�r�,t•� Q,�ii �i�Yd L56-349� <br /> � t{R- {�i4e- Lq n�GuS- �1d.S�50/•5LL! <br /> ''�'1 u 1�T 1 1=�w�1�-� <br /> Proposed Use o� Building Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: �cmcv�����4�� 'e �<c+f� c� Pon��S �n 2�-�� �n•�r <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STA'fE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHiNGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUC�ATIONAL FACI�ITI�AND ALL HOEALTH CARE FACILITI SIPLANS WSLLEBE REV EWED BYTHIS OFFI OTHER <br /> NOTE: WIRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5I NCHES ABIOVE THE FLOOR. WAC SA20 SEC 3106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESIOF WAC SE 20 EC.�N 6(b)4CE & FI ANDRNOTTLES�S THAN 36LINCHES ABO E THE�F OOR IN THE REACH <br /> 1 HERE6Y CERTIFY THAT 1 HAVE READ HND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 6E TRUE AND COflRECT. ALL <br /> PfiOVISIONS OF LAWS AND OADINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIF(ED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESU�b1E TO GIVE AUTHORITY TO VIOLATE OR C�NCEL THE PROVISIONS OFANYOTHER <br /> STATE OR LOCAL !AW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> �CONT ACTORS'LAW��27R wA�ND296.200WAC.E WORK FOR WHICH APPLICA710N IS MADE AND I COMPLY WITH THE STATE <br /> ��r,�-c�a� <br /> �!/� �,/� �� / ���J�/ FEE <br /> Signature <br /> � Date <br /> ELECAP(AEV B/2001) <br />