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ELEC.'1 rtICAL PERMIT �P�-LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> i�n l ��e� �U � <br /> PROJECT ADDRESS <br /> C4� l-hc�t` '��P a�Coo�g '�(�-�Clu�}�' ���a'2� Q� �S'�sa(4�sp <br /> OWnef Meil Address City StetelLl � � Phono <br /> Tenant Mail Address City S�a;e/Zip Phone <br /> Electrical Contractor Mail Address Ciry State Ztp Phone <br /> State License Number Contract Price of Work <br /> Proposed Use ol Building Contact Person (Plen Review) <br /> Description of Work to ee Done: �C L� 11�l'�1�"l G �1 � �� ��� ! O � `� <br /> ��'� Ga�� �C� C'� ��c� �..nQ S�� l�'1 �, <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDI;CATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE Sl'ATE <br /> EDUCA IONA FACILITI S AND ALL�EALTH CARE FACILIITI SI PLANS WSLLE E R V EW ED BY THIS OFFj OTHER <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 AGCESSIBLE SPACES OR ALONG ACCESSIBLE ROUI'ES 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 /> RANGE6 OF WHC 5E 20 SEC.�3N06(b)4CE & FI AND NOT ES�S THAN 36 INCHES ABO EUTHE�LOOR.IN THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF:,4WS AND ORDINANCES GOVEANING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GI VE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 FCW AND 296.200 WAC. � <br /> r - <br /> i' <br /> ��L`I �7I � � � J�-l"��� �l Y �J�/��O� FEE <br /> Siynature L� Dete q <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED '�����S f <br />