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ELECT �CAL QERMIT AP� �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, 1^!A 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> s3 ez 5m 4ti 5r <br /> PROJECT ADDRESS C <br /> �'ci Le r � N� �rS f�U �3 ic Ll GV. .✓c(� 1,��{ l�f2cG <br /> Owner Mail Adtlress City State2ip Phone <br /> �.�.'�/� O � {�+� IPoLL 3.�C L S� � /R �T L1i L/t�� Lv( `��S 2c i <br /> Tenant Mail Address City State2ip Phone <br /> �tir 'V<<�,� � c 74cc (/�f�.i:li�,✓ Rr.(� £�c. l�{ G.� �S 2�:i yrS- 77�� 5 FS35" <br /> Electrical �ontrac�or Mail Address City State2ip Phone <br /> :: rr c_o :""L <br /> `.6 loo. �.c <br /> State Licen e Number Contract Price of Work <br /> r r �:F z S�c • /�L c,}( <br /> Proposed U e of Building Contacl Person (Plan Revie�v) <br /> Description of W'ork to Be Done: i�,�' I��C �3 � S � c 4 S%.0 � S <br /> V <br /> NOTE: PIANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS �NITH SUCH JOBS MUST SHOW THE STATE <br /> EDPCAT ONAL FACILBITIE�S AND ALL HOEALTH CARE FACILITI SI PLANS WSLL BE R V EWED BY THIS OFFI OTHER <br /> NOTE: W IRING IN NO�-DW ELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL ANC COMfv1UNICAT10NS SYSTEM RECEPTACLES ON WALLS <br /> VJlTHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABnVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE3 OF WAC SE 20 S C ON 6(b�CE & FI ANDR OTTLES�S THAN 36LINCHES ABO�THE�LOOfi IN THE REACH <br /> I HEFEBY CEFTIF}� TiiAT I HAVE READ AND EY.dA11NEP TNIS AFFLICATION AND Kh'OlN 7HE SAh1E TO 9E TFUE .4ND COFFECL ALL <br /> °ROVISIONS OF LAlYS .iNO ORDINANCES GOVEFNING THIS T1'PE OF N'OFK WILL BE COAIPLETED WHETHER SPECIFIED HEFEIN OF <br /> N07, THE GRANTING OF A PEAh11T DOES NOT PFESUhlE TO GIVE AUTHOAITY TO VIOLiTE Ofl CANCEL THE PROVISIONS OF RNY 07HER <br /> STdTE OR LOCAL L.7W FEGULATING CONSTFUCTION OR TNE PEFFOFM1fANCE OF CONSTFUCTION. THAT I AM AUTHOFIZED BY THE <br /> Oli'NER OF THIS PFOPERTY TO PEFFOFh1 7HE INCFK FOF Ll'HICH APFLICATION IS M1fADE AND I COh!PLY WITH 7HE STA7E <br /> CCNTFACiCFS LAW 18.2i RCW ANO.96.200 WAC. <br /> .'���� �. / FEE <br /> ) � � <br /> Slr�na W re Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED � J��_ �3 <br /> `1 <br />