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ELECT'�.ICAL PERMIT AP�-�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � �'l0( C a sca�� <br /> PRO ECT ADDRESS <br /> r�w.�,�.�,c� 740� [�,cGde 9i F►�ere� wA 98c�1 �42�11T-9U7 <br /> Owner Mail Address Ciry StatelZlp Phone <br /> Tenenl Mail Addrass Clty Stete2lp Phone <br /> Flecira I�r�c l�C i3 ry� sF 2r� Pl�`3.� Q�II ev✓e ►�.A `� S�aQJ c.��t�' <br /> Electricel Conlractor Mall Address City StatelZip one <br /> � l�C'i-S LU�I 1 M 2 <br /> Stale Licenae Number Contract Price ol Work ' <br /> Propo�or uilding Cantact Peraon (Plen Review) <br /> Descriptlon ol W ork to Be Dono: Qp.y��' �P `W /1 mn �A I/1 brr I��� -�� a�' �/V��� <br /> 4 �c <d vs �,►�,G �l <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 /> EDUC�ATIONAL FACILBITIES AND ALL�EALTH CARE FACILITI SIPLANS WSLLEBE REV EWED BY THIS OFFICETHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIFIED 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 OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC SE 20 S C�3N 6(b)4CE& FI AND OT L SS THAN 36LINCHES ABO EUTHE�OOR IN THE REACH <br /> 1 HEFEBY CEFTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAA1E TO BE TNUE AND COFREC7. ALL <br /> PROVISIONS OF LA WS ANO ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OH <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PAESUME 70 Ca1VE AUTHORITY TO VIOLA TE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PEHFORMANCE OF CONSTRUCiION. THAT 1 AM AUTHOHIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH APPLICATION IS MAOE ANO 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> �� ��Zf�I C�I FEE �c� <br /> l7�� <br /> SipnaNre ���Del� <br /> ELECAP�FEV BROOt) /�gy���� <br /> ��r <br />