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ELEC'`� r�ICAL PERMIT AP�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 7�/� <br /> .�l��( F ��.e,��-a � �v a y <br /> PROJECT ADDRESS <br /> t�)Q �-� Ec�ec��J 1���2 l-�o(n�es �i.�r l�Ccr��lmNd (.v� 9�o.?f <br /> Owner Mail Address City State2ip Phona <br /> < <br /> �11�/' /'Qi �'7� � / r / l/'�'L� <br /> Tenant Mail Address Ciry State2ip Phone <br /> y � s��ti � �►--�` <br /> S�a uo�'T ec�'v� c�yon� �t/Q �'�w �f�s-�Sy-6o7� <br /> Electrical Conlractor Mail Address Ciry State2ip Phone <br /> `�[//hCTy ��O j7 �N ContractPriceofWork <br /> Slate License Number <br /> ��I <br /> Proposed Use o�Building Contact Person (Plan Review) <br />�" De.,:ription of Work to Be Done: �.G� � Q�C ('� .S' Q/l/ � " <br />� v <br /> Y, <br />�,� <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 FACILIT E3 AND ALL H�EALTH CARE FACILITI SI PLANS WSLL BE REV EW ED BY THIS OFFI OTHER <br /> NOTE: INIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, "AC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RE�EPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPAGES 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 E�UIPI�AENT WITHIN <br /> RANGE6 OF WAC 5E 20 S CLON06�b)4CE &FI ANDR OUT L S8 THAN 36 INCHES ABOV�EUTHE �LOOR�N THE REACH <br /> I HEFEBY CERTIFY THAT! HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THF SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GO6'EFNING THIS TYPE OF WORK WILL 8E COM1lPLETED WHETHER SPECIFIED HEFEIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PF7ESUME TO GIVE AUTHOAITY TO VIOLATE OR CA�JCEL THE PROVISIONS OFANYOTHER <br /> STATE OF LOCAL LAW REGULATING CONSTFUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOR/ZED BY THE <br /> OWNER OF TH/S PROPEFiTY TO PERFORM THE WORK FOR WHICH APPLICATION IS M11ADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW iB.2i RCW AND 296.<00 WAC. - <br />� n. a ��o� l— �2 � � � _ FEE � <br /> - SignaWre Date � ' <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED L- /)�/ _7� <br /> U <br />