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ELECX3ICAL PERMIT AP' LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257•8810 - FAX 425-257-8857 <br />PROJECT ADDRESS <br />Tenanl <br />I \1` Electnca' {I 1 �� n�actO <br />Metl Address <br />Matl Adtlress <br />. 17 ,\ C <br />Meil Atlaress <br />�'r,�t-I� ��n� 1Cz <br />�Stale License Number _ <br />Build�ng <br />Descnption ot lNork to Be Done: <br />Ciry <br />Ciry <br />L��' <br />�����wbuu� �`� <br />State2lp <br />Slete2lp <br />Stele2lp <br />� %�°l 0'1, b G <br />Contracl Pnce ol Work <br />Contact Person (Plan Review� <br />Phona <br />Phono <br />Phone <br />NOTE PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTI! IZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MIIST SHOW THE STATE <br />EDUCATIONAL FACILBITIEOS AND ALL H�EALTH CA E FARILITI SIPLANS WSLLEBE REV EVvED BY THIS OFFICE. HER <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />W IT �IIN ACCEDSSIBLE SP ACES OR ALONG IACCESS B E ROUTES OF�TRAVELSSHALRBE MOUNTED A� MINIMUM <br />OF 15 INCHES ABOVE THE FLOOF. WAC 51-20 SEC. 3106�c�2. <br />ENVIRUNMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RA 1GES OFEWAC SE 20 SEC.�N061b 4CE 8 P AND NOT LES�S THAN 36LINCHES ABO E THE �LOOR �N THE REACH <br />���rr.FGy �;;FF?ff� 7HAT I HAVE READ ANO EXAMWED THIS APPIJCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />pFC vi5;CN5 OF �a W5 AND ORDiP/ANCES GOVEFNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHEA SPECIFIED HEREIN OR <br />NC' `�•F �7Fa�dTl :G OF a vEFM1T OOFS NOT PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCEL 7HE PROVISIONS OF ANY OTHER <br />57A "E C� ,.�=:�aL �46Y �P�ULATIh'G CONSTRUCTION OF THE PERFOFib1ANCE OF CUNSTRUCTION. iHAT I AM AU7HORIZEO BY THE <br />��yyryFr. ;�a rHiS �FrpEF7v TO PERFOFM iHE WORK FOR WHICH APPLICATION :S MADE AND I COMPLY WITH THE STATE <br />COMRAC 'F� 'B 2.' FGW� 00 WAC <br />� �� ��7 ��, �, <br />S�gnature <br />ELECAPIAF'/S��L')'�i <br />FEE <br />oete <br />� 03d7-��C) <br />