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ELEC�� .�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 /> In3� G�o�►���z��r <br /> PROJECT ADDRESS <br /> 4,� ,ti „ „ C,�a,,� i6SoCr{oua..� I� �v�z� l.� 9eao3 <br /> Owner Mail Address City Stete2ip Phone <br /> Tenanl Mail Address City SlalelLip Phone <br /> 4 n�„l � — �(�j. r—i (��O L�3��O vE C�7 �� i-t�` Stl lt�f� c(Q �i U _ <br /> EleclricalContractor MailAddress Ciry State2ip �Z,� �y_���? <br /> (�Ai�a�c. o�o�a ( S�T,,C� <br /> State License Number Contract Price of Work <br /> 1 l� �-Y-�IG G <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ���2E nA�l�C�oC - �lOVFi �C�R `JY�SE <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FP.CILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONAL FACIL T E9 AND ALL�HEALTH CARE FACILIITI SI PLANS WSLLE E REV EW ED BY THIS OFFICE.rIER <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTEU A MINIMUM <br /> OF 15 INChIES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGES'OF WAC SE 20 S C SN 6(b)4CE &FI AND NOT L S3 THAN 36LINCHES ABOV�E THE D OOR IN THE REACH <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORAE�T. ALL <br /> PROVISIONS OF LAWS AND OADINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFlED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTNER <br /> OWNEH OFOTHAS PROPERTY TO PER�OAh7UTHTE WOAfCTFOREWi�CH APPLI�ATIONNSSpMADE ANDH�COMPLY WI�H'ZTHE STATE <br /> CONTRACTOAf.LAW 78.27 RCW AND 296200 WAC. <br /> � �ti� <br /> �� .dtJLy ��3 FEE <br /> Slonawre Date <br /> � �DEBIT&CREUiT CARDS ARE NOT ACCEPTED ��S� � — �j / <br /> �' <br />