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E EL CTE�ICAL PERMIT APrLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />2Z- I � �lD/1�% 0.V e <br />PROJECT ADDRESS �J y �c � <br />I//�iN G ��I/ A/�NO/ �4O � � � � <br />Owner <br />Tenant <br />Electrical Contractor <br />Mail Address <br />Mail Address <br />Mail Address <br />D .!//l/�'YL <br />State License Number <br />.� ���X <br />Proposed Use o Building <br />Description of Work to Be Done: �� /1����� <br />Ci�y <br />City <br />Ciry <br />3 / Z.,P �7�tii <br />�-9� j <br />�b�o6-oy3 <br />�p,�ys�,/i� � �"600 <br />State2ip <br />State/Zip <br />State2ip � <br />Contract Price of Work <br />Contact Person (°lan Review) <br />Phone <br />Phone <br />Phone <br />G (/� �S�CaQG�/CC <br />� <br />o ,/i C t= <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED PLANSEBEFORE �C TYJ OF E ER�ETT PERM TAW ILL BIE HSSUED. J WACM296 46-H OW ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTN CARE FACILITI�S PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, PAC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: GLECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES 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 AIJD OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGESIOF WAC SE 20 S C O3N06(b)4CE & FI AND OT L S9 THAN 36LINCHES ABOV�EUTHE �LOOR IN THE r�EACH <br />I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND lCNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVEANING THIS TYPE OF WORK WILL BE COMPLETED bYHETHEA SPECIFIED NEFEIN OR <br />NOT, THE GRANTING UF A PERMIT 'JOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR GANCEL THE PROVISIONS OF ANY OTHER <br />STATE OA LOCAL LAW RFGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />uWNER OF THIS PROPEFTY TO PEFFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COIdPLY W1TH THE STATE <br />CONTFACTOFS LAW iP.27f±C't7%(JD 296.20{� WAC. <br />Da�e <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTEU <br />00 <br />FEE I/ � <br />l0 <br />Ea30�""O`�� <br />