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� <br />� <br />ELECT"ICAL PERMIT APC�_ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-5810 - FAX 425-257-8857 <br />����-S (�a�;,�c��� /2�. <br />PROJECT ADDRESS <br />Owner <br />�� <br />Tenant <br />5 c�t ���i�"S�Ci <br />Electrical Coniractor <br />�E—� <br />State License Number <br />Mail Address <br />Mail Address <br />Mail Address <br />��� S.Oe.7'ocG�e.�� ��l/'oA-P <br />Proposed Use of Building <br />Ciry <br />Ciry <br />City <br />State2lp <br />State2ip <br />StatelLip <br />��` ��/�a00 <br />cntr ct Price of Work <br />Contacl Person (Plan Review) <br />—7rs ; <br />Phone <br />Phona <br />Phone <br />Descripdon of Work to E3e Done: wj (/`e 4 Nd� S�'v !�-(�i (/ O(� � vH�I � � d' <br />����f-q C � � �4 lrq� e ' — <br />NOTE: PLANS FOFl ELECTRICAL WORK AT EDUCATIONAL, FA.CILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STkTE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUCATIONA FACIL TIE�S AND ALL H�EALTH CARE FACILITI SI PLANS WSLLEBE REV EW ED BY TH�S OF ICETHER <br />NOTE: WIRING IN NON-DWELLINGS IS RCQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 15I WCHES ASBOVE THE FLOOR.AWAC 5120 SEC 3106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL P,ND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIPI <br />RANGES' OF WAC SE 20 SEC.�N 6 b 4CE & F' AND OUT LE S THAN 36 INCHES ABOV�EUTHE �F OOR IN THE REACH <br />1 FIEREHY CERTIFY THA7' I HAVE READ AND EXAMINED THIS APPLICA7/0N ANL I(NOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PAOVISIONS OF :AWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIE6 HEFEIN OA <br />NOT, THE GAANT/NG OF A PERM17 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />OWNER�OF�TH!S PROPEIiTY TO PEAFORMUTFITE WOFK FOR WFICH A PLICATONNSSpMADE AND 1 COM1IPLY WITH'ZTHE STATE <br />CONTRACTORS LAW 182? flCW AND 296.200 WAC. <br />� <br />Signature <br />ELECAP(REV BI2001 � <br />� . <br />Date <br />�� �la-�1� <br />FEE <br />