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ELECj .�ICAL PERMIT AF. �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� ls� L l �, �P �ri.r�� n �J�'. "� -- <br />PROJECT ADDRESS <br />i��� L`�G\t( �lLol� 1�UP� n..�y� i1U-ere'F�" li"�t . <br />Owner <br />Tenan[ <br />Eleclrical <br />Mail Address <br />Mail Address <br />Mail Address <br />lQoa'� o � �� �l /�C'e-atv-�s��ssv�-� <br />State License Numbsr <br />� J.J.C� � ��.1��'('(��-t�.�" <br />Proposed Use of Building <br />City <br />Ciry <br />Ciry <br />State/Zip <br />State2ip <br />SE i4�-' ki� <br />State2ip <br />� �oo� <br />Contract Price of W ork <br />J or �Yr n <br />Contacl Person (P�an R ew) <br />Phone <br />Phone <br />�ZC�.a -��4�i <br />Description of Work to Be Done: n� �� J r� t i�Y'1 '�a�'C}� ``�`\ ���1 ��C �' <br />�f�-Q ll�.� L� �Cl��` — <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 />EDUCA IONAL FACILBITIE�S AND ALL �EALTH C E FACILITI SI PLANS WSLLEBE R V EW ED BY THIS OFFI �� HER <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 WALL5 <br />OF 1b WCHES ABOVE THE FLOOR.AWAC 5120 SEC 3106(02 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC 5E 20 S CLON 6�y�4CE & FI ANDR OUT L S8 THAN 36LINCHES ABO EUTHE �F OOR IN THE REACH <br />I HEAEBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHcTHEfl SPECIFIED HEREIN OR <br />NO7, THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS/ONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULA7ING CONSTRUCTION OR THE PEFFURMANCE OF CONSTFUCTIOlJ. THAT 1 AM AUTHORIZED 8Y THE <br />OWNER OF THIS PflOPERTY TO PERFOflM THE WOflK FOR WHICH APPLlCATION IS MADE AND 1 COMPLY WITH THc STATE <br />CONTRACTORS LAW 18.27 ACW AND 296200 WAC. <br />�/J <br />SignaWre `� <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />O` r <br />Date <br />��{02' � �`{ <br />FEE <br />