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ELEC'i RICAL PERMIT APr�LICATION <br /> CITY OF EVERETT PERMIT SERVICE5 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _ �� �, ��� 'Q r �t�I�eS � (_o�-S ��.V. � <br /> PROJECT ADDRESS <br /> r��, cre.e,� <br /> Owner �dail Address City State2ip Phone <br /> Tenant Mail Address City State2ip Phone <br /> ��M �...(r�c�—n� ?�111� �i�lr� r—�k �, 1� GBzoi 2SZ-9�7 <br /> Electrical Conlractor Mail Address City State2ip Phone <br /> KV�tr�,c;�- o� � ► i �1�oo :.o <br /> Stale License Number Contract Price of VJork <br /> �r 2 Contact Person (Plan Review) <br /> Proposed Use of Building <br /> DescriptionofWorkloBeDone: 2O0/1-�tP SC�VI�r� ���'`� ��S� ��ZA1C�Z_ <br /> NOTE: PLANS FOR ELECTRICAL VJORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED PLANSEBEFORE �C TYJOF EV R�ETT PERM TAWILL BIEHSSUED. J WACM 96 46-1 OW ALL OTHER <br /> EDUCATIONAI. FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUI�ED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICAT!GIvS SYSTEM RECEPTACLES ON WALLS <br /> OF SI WCHES ABO E THE FLQOR.AWAC 5120 SEC 3106(c)2TES C)F TR.4VEL SHALL BE MOUNTED A MIN:MUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESIOF WAC 5E 20 SEC.�3N 6(b)4CE & FI AND N�OT E S9 THAN1 6LINGHES ABOV�EUTHE �F OOR IN THE REACH <br /> 1 HEREBY CEATIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW Th'E SAME 70 BE TRUE AND GORflECL ALL <br /> PqOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK L^/ILL BE COAIPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GFANTING OF A PERM1IIT DOES NOT PRESIIME TO GIVE AUTHORITY TO V/OLATE O.4 CANCEL THE PROVISIONS OF ANY OTHER <br /> OWNER�OF�THAS PROPERTYATO PERFORMUTHIE WORKrFORELNHICH APPLICATIO�NSSF^AAC�ANDHI COMPLIUWITH/THEBSrtiTE <br /> CONTFACTORS LAW 7827 FCW AND 296.20D WAC. <br /> J <br /> ����-,,o-c,C Wo�V�— �-��0� FEE <br /> Signature Date I <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED �v�7 'dI 7 <br />