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EL.EC`� RICAL 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 />�l 28 v� w000, l�f. . c ve.re�T <br />PROJECT ADDRE S <br />� <br />��,,,,;o i .;.,lla., ��� ����o >>r. � <br />Owner <br />Mall Address <br />C+ry <br />State2ip <br />Phone <br />��.kC A�' ATlo�t — - <br />Tenant Mail Address City State(Lip Phone <br />E�c.�, tlec�c i� 0'�� 1\`l�- 1�1L Sicva.i.s wA `(92B �33� 8o"L2 <br />trical ContfaCtot Meil Addrass City Stste2ip Phone <br />�A)YEDCE ��P <br />State License Number <br />�._��-� � �i4Mt�Z r2c5��u��� - <br />Proposed Use of Building <br />Description of Work to Be Done: <br />�IE � S (. o • ,�' <br />Contract Pnce of Work <br />{-i�t 22Y /�Y� g I <br />Contec[ Person (Plan Review) <br />APPROVED BY THE STATER FAWASHINGTONDUAPPLI�CANTS WITH ISUCH IJOBS MUST SHOW THEUS ATE <br />EDUC�A IONAL FACIUTI S AND ALL H�EALTH CARE FACILITI SI PLANS WSLLE E R VAEW ED BY THIS OFFI ETHER <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM FECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES 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 EQUIPMENT WITHIN <br />RANGES OF WAC 5E 20 SEC. SN06(b)4CE & FI AND OTTLESS THAN 36LINCHES ABO EU HE �LOOR �N THE REACH <br />1 HEREBY CERTIFY THAT I HAVE READ AND E.YAh41NE0 TNIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS Tl'PE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GI VE AUTNORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFO.RMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHIGH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS L4W iH.27 RCW AND 296.200 WAC. � <br />�• • <br />Signaw(� � Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEP`ED � ��' � D'US3 <br />FEE <br />