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ELEG'�� RICAL PERMIT AI- �LlCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �o� <br /> OJECT ADDRESS y'�s� <br /> N "v � l/'7 0• (1i�/1R�1 (,liA. c'i��6 3�l�'-�sa� <br /> Owner Mail Address City StatelZip Phone <br /> T���� Mail Address City State2ip Phone <br /> JnF�st.�,r1gL— �-11F�,�� �'C"/� <br /> E ei ctrical Contractor Meil Addrass City State2ip Phone <br /> Stale License Number Contract Price of Work <br /> r��nG�x _ <br /> �ropo�ed Use of Building Contacl Person (Plan Review) <br /> Description ol Work to Be Done: / i� �w r�P <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�ATIONA FACILBIT ES AND ALL�EALTH CARE FACILITI SI PLANS WSLLE E REVAEWED BY THIS OFFICE.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 WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 151NCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGESIOF WAC 5E 20 SEC.�N 6(b)4CE & FI AND NOT L S3 THAN 36LINCHES ABO EUTHE F�OOR IN THE REACH <br /> 1 HEFEBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATlON AND KNOW THE SAME TO BE TpUE AND COARECT. ALL <br /> PROVISIONS OF LA WS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PEFMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF <br /> STATE OR LOCAL LAIN REGUL4TING CONSTRUCTION OR THE PEAFORMANCE OF CONSTRUCTfON. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEAFOFM THE WOAK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 FCW AND 296.200 WAC. � <br /> FEE <br /> Slgnature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED [a3a€-fJSS <br />