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E�E RICAL PERMIT A LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> a25-257-8810 - FAX 425-257-8857 <br /> (o�� I ( —J I (�4-� ,� �,� <br /> PROJECT ADDRE.�,S f�-� (� _x�I I 1 1_ V P .0 / O�.C� <br /> � e(�e (r�� '1"V t�0 `ivylJ <br /> Owner Mail Address City State2ip Phone <br /> � �-aBBJ <br /> � m-�� <br /> Tenant Mail Address Ciry Slete2ip Phone <br /> Electrical Contractor Mail Address Ciry Stete/Zip Phone <br /> Slate License Number Contract Price ot Work <br /> fPG I /10.i'�i'1G1..� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work ta Be Done: �� �� np��1� ' (� ✓�-� � �'r� � <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 FACILBITI 8 AND ALL HOEALTH CARE FACILITI SI PLA S WSLLEBE R V EW ED BY THIS OFFI ETHER <br /> NOTE: WIRIIJG IN NON-DWELLINGS IS REDUIRED 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 /> RANGESI OF WAC SE 20 SEC.�3N 6(b)4CE & FI AND OT ES�S THAN 36LINCHES ABO EUTHE�F OOR�N THE REACH <br /> I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK W14L BE COMPLETED WHE7HER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTAUCPON OR THE PEAFOAMANCE OF i:ONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEAFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 7827 RCW AND 296.200 WAC. � <br /> '���1'�� !� !— % Z' � FEE <br /> Signature Data <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED E�3 n q-0 3 3 <br />