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ELEQ�RICAL PERMIT A� �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�a3 �'� � �� 5 �J �����- �A, ��o�/ <br />PROJECj ADDRESS _ �,a I � � � � ` <br />� i _ _ .�. <br />O�mer <br />Tenent <br />Mell Addreae <br />Mell Atldreae <br />L <br />Contreclor Mell Atltlreee <br />l��E c�kr 9�fJ KI'� <br />Stete License Number <br />��s,� �� - <br />Propoaed Use ol Bultding <br />Deecripllon ol Work lo Be Done: <br />Ciry <br />City <br />State2lp <br />Stele2lp <br />� StetalZlp <br />(�as��-co3��i <br />Phone <br />Phone <br />D ��i�S �'�?�[oS� <br />Phone <br />�Sr.� "� <br />Contract dce of Work <br />�� � �� <br />Contaci Pe o�i (Plan Revlew) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUCATIONA FACILBITI S AND ALL HOEALTH CARE FACILIITI SIPLANS WP.L BE REVAEWED BY THIS OF ICE. HER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />O 1 b WCHES ABIOVE THECFLOOR.AWAC 5120 SEC 3106(�2 TES OF TRAVEL SHALL BE MOUNTED � MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT Wi1HIN <br />RANGES OF WAC SE 20 SEC. 9N 6�b)4CE 8 FI ANDR OTTL SS THAN 36LlNCHES A80 EUTHE �LOOR �N THE FEACH <br />1 HEREBY GC?TIFY THAT I HAVE READ AND EXAMINED THIS APPLICATICN AND KNOW THE SAME TO BE TRUE AND COFRECL ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF YYO�iK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GHANi1NG OF A PERMIT DOES NOT PRESUME TO QIVE AUTHOHI i�' TO VIOUTF OH CANCEL THE PROVISIONS OF ANY OTHEH <br />STATE OH LOCAL LAW REGUUITING CONSTFUCTION OF THE PERFORMANGE OF CONSTHUCTION. TNAT 1 AM AUTHORIZED BV THE <br />�CONTFACTO S'LAW�B27fiCWAND 9B.2001�.E W�RK FOR WHIiH APF'LICATION IS AIADE ANO 1 COMPLY WITH TNE STATE <br />— SlpneWre 1 <br />DEBIT d CREDIT CARDS ARE NOT ACCEPTED <br />FEE � � <br />L,=030�s'b�7 <br />