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ELECT� �ICAL PERMIT APa �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �O�( l 5 Cv �zG.,z�n� W�-`� _ <br /> PROJECT ADDRESS <br /> �4,a�-c�� L�S��.�� IOS ISEUERC��EE�J ��'t �,,E2�rr �A-4zs'ul9oeo <br /> Owner Mail Address City State/Zip Phone <br /> Sd�m= <br /> Tenant <br /> Idail Address City � State2ip PY.one <br /> �'D��c� �- Po F�ox ► lsz �u�iZ.�Tt- P� 4820� 4ZS. Zs2,z�c� <br /> State2i Phone <br /> Electrical Contractor Mail Address City P <br /> 2opC���c23ZP� � q �O ��0� <br /> Stale License Number Contract ice of Work <br /> CA-�L ��-Pr l..L�S�-�� �-�CLw�F W A LI.IT�� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> I/� q ` �L1 Cx N'Y p�lG <br /> Description af Work to Be Done: ��'+-� Dv--� ��� ��' �—�-V �G�� �O�TLTL <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 FACILBITIE�S AND AI.L�EALTH CARE FACILITI SIPLANS WSLL BE R V EWED BY THIS OFFI OTHER <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 15I NCHES ABO E THE FLOOR.AWAC 5120 SEC 3106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE9 OF WAC SE 20 SEC.SN 6(b)4CE & FI AND NOUT LES�S THAN 36LINCHES ABOV�EUTHE�F OOR IN THE REACH <br /> I HEAEBY CERT/FY THAT 1 HAVE AEAD AND EXAMINED THIS APPLICATION AND KNOW THE S.�ME TO BE TRUE AND CORRECT. ALL <br /> PROV/SIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEAEIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOC LA W FEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM,SUTNORIZED BY THE <br /> OWNER OF /S FOPERTY TO PERFORM TFfE WOAK FOR WHICH APP�ICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTO LA 19.27 RCW AND 296.200 WAC. � <br /> FEE ��� 2�.'3 IQ <br /> �ate <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �p�{i(-�p q <br />