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� <br /> ELEC�1-iICAL 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 /> ,_/�/ .( J r C�,V)7G2--.�T— <br /> PROJECT ADDRESS , <br /> �,�,r � �n�� , <br /> Owner <br /> �dail Address Cily Stute2ip Phone <br /> Cit Stete2lp Phone �; <br /> Tenant , Mail Address 1' <br /> �� Ic �',P.�� . ' <br /> Cit State2lp Phone <br /> Electrical Contrector Ma�i nadress Y <br /> State License Number <br /> Contracl Price ol Work <br /> Proposed Usa ol8uilding <br /> Contact Person (Plan Aeview) <br /> Z�i3 <br /> r <br /> Description ol Work lo Be Done: <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 /> EDUCATIONAL FAC,ILBIT E�S AND ALL H�EALTH CARE FACILITI SI PLA S WSLLE E REV EW ED BY THIS OFFI ETHER <br /> NOTE: WIRING IN NON-DWELI.INGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED AGCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5I NCHES ABIOVE THE FLOOR.AWAC 51A-20 SEC 31pg OZTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONPdENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> RANGESI OF WAC SE e0 SEC.�N 6�b)aCE & P ANDR OTTL SS THAN 36LINCHES ABO E THE �LOOR IN THE REACH <br /> � HEFE9Y CEFTIFY 7HAT i HAVE RE.4D AND EXARIINED THIS APPLICA710N AND KNOW TNE SAME TO BE TRUE AN� COFRECT. ALL <br /> VCTV iH/E GFAN7ING CF 4 PERMIT DOES NO�pFESUME 0 GI EPA�HOF�TI'70'V10L�1TE ORPCANCE�HE PROVISIONS OF AN�O HEF <br /> SlT4�NE �RF�4�IS P90PEFTV TO PERFORMU7HE WOFKrFORELNH�CH APPEICATIONNSISRMADE ANGHACOMPLYUWI�TH'THEBSTATE <br /> �0 RA TCFS LAW 7g,° FCW AND<^96.200 W <br /> � � � � FEE <br /> . <br /> �., -� � �.3/�/� � <br /> S�gnature Oate <br /> DEBIT 8 CREDIT CAROS ARE NOT ACCEPTED ��4o3-oB3 <br />