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ELEG 'R1CAL PERMIT Ar PLICATION <br />CITY UF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98207 <br />425-257-8810 - FAX 425-257-8857 <br />� ��2 �1._Ya� , i� '� . <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />Ciry <br />StatelLip <br />Phone <br />�trt+[ a5 Qv�er — <br />Tenant <br />Electrical <br />�L f_crrSSoork.R <br />State License Number <br />Mall Address <br />Mai� Addrass <br />('an�x-c.� - <br />Proposed Use of Building <br />Ciry <br />Ciry <br />Description of Work to Be Oone: T�1'i��l` ��� ����'\ <br />StatelLip <br />StatelLip <br />Contrect Pnce of Work <br />Contact Penon (Plen Review) <br />Phone <br />Phone <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 FACILBITI S AP+D ALL �HEALTH CARE FACILITI SI PLANS WSLLEBE REVAEWED-BY THIS OFFICETHER <br />NOTE: W IRING IN NON-DVJE!_LINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHEF CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RANGESI OF WAC 5E 20 SEC.�N 6(b)4CE & FI AND NOT E S3 THAN 36 INCHES ABO EUTHE �LOOR IN THE REACH <br />I HAVE <br />NOT, THE GHAN / IIVG Vr A YCnMI i uuoo � vv � r r.w..�.•.. <br />S7'ATE OF LOCAL LAW REGULATING CONSTFUCTION OR � <br />OWNER OF THIS PFOPERTY TO PERFORh1 THE WORK <br />CONTFACTOFS LAW 1&27 RCW AND 296.200 WAC. <br />Signelure �� <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />AND KNO W THE SAME TO BE TRUE AND CORREC7. ALL <br />�TO�VIOUTE ORPCANCE �THE PROVIS EONS OFANY OTHER <br />CE OF CONSTFUCTION. THAT 1 AM AUTHORIZED BY THE <br />�PI.IG4TION IS MADE AND 1 COMPLY WITH THE STATE <br />y- l6'_ <br />Dete <br />E o3o�-cz7 <br />FEE <br />