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ELECTf�ICAL PERMIT AP1= �ICATION <br />�o S 1= � <br />PROJECT ADDRESS <br />Owner <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />r�la l ( W a., <br />� <br />Mail Address <br />� I�u g'lo <br />�- <br />SE E.r4- 1aU ¢� <br />Ciry <br />� . L . <br />� .� 1.. � <br />Tenant <br />Mail Address <br />�c. �116 �P� <br />Mail Addrass <br />kM�� �� .A-,,, �.� � <br />State License Number <br />�-iu�• raw� <br />Proposed Use of Building <br />Description of Work to Be Done: <br />� <br />CITy <br />City <br />State/?ip <br />StatefLip <br />State2ip <br />�' (6vp,� <br />CoNract Price of Work <br />Contact Person (Plan Review) <br />ph�ne <br />one <br />Phone <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 />EDUCATIONA FACILBITI S AND ALL �EALTH CA E FACILITI SI PLANS WSLL BE R V EW ED BY THIS OFFI OTHER <br />NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 15I WCHES ABIOVE THE FLOOR.AWA 5120 SECi3 jpg�02 TES OF TRAVEL SHALI_ BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC 5E 20 SEC.�NO6(b)4CE & F� ANf� OTTL SS THAN 36LINCHES ABO EUThIE �LOOR IN THE REACH <br />1 HEREBY CERTIFY THAT I HAVE READ 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 WILL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTAUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STA7E <br />CONTRACTOAS LAW 182717CW AND 296.200 WAC. ' <br />�,�,.._(,� � �� �l -1 � 'o �f- <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED ,E G'{a7-0(OS <br />FEE <br />