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ELEC 1�ICAL PERMIT AP� LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810 - FAX 425-257-6857 <br /> /1� 2 � �j�Pa� i �s� ��� l� 9�'zo S� <br /> PROJECT ADD�SS �n��T �� � (� /� <br /> , ��,��_���� 11� � ,� 6� <br /> Owner Mail Address Ciry,�..�C`��n '`State2ip � /J� ,..f�� / <br /> �/Z� CJ� �C L y <br /> Q, <br /> Tenant Mail Address Ciry State/Zip Phone <br /> !���+/r9�T - <br /> Electrical Contraclor Mail Address City Stete2ip Phone <br /> State�icense Number Contract Price of Work <br /> Proposed Use of Building Contect Person (Plan Review) <br /> Description of Work to Be Done: ! ��/TlG�� /�/Y �v /�� . <br /> NOTE: PLANS POR ELECTRICAI WORK AT EDUCATIONAL, FACILI','IES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITN SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE SSSIJED. WAC 296-46-140. ALL OTHEF <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLAN$W ILL BE REVIEW ED BY THIS O�F6CE. <br /> NOTE: W IRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWA�S. MC UR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACIES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALrJNG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 WCHES ABOVE THE FLOOR. WAC 51 20 SEC. 3106(c)2. <br /> cNVIRONMENTAI AND OTHER CONTROL RECEPTAGLES APJD OTHER OPERABI� E�UIPMENT WITHIN <br /> RANG�SI OF WAC SE 20 SEC.�3N 6(b 4CE& FI ANDR OT E S THAN 36LINCHES A80 EUTHE�LOOR IN THE F��ACH <br /> � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TC BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WlIETHER SPECIFIED NEREIN OR <br /> NOT, THE GFVANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED 6Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM 7HE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CO ORS LA W 78.D RC D 296.200 WAC. � <br /> FEE <br /> ignature Date <br /> R 8 CREDR CARDS ARE NOT ACCEPTED E�3 n 9-o8N <br />