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i <br /> ELE TRICAL PERMIT r�PLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9NZC� <br /> 425-257-8810 - FAX 425-257-8857 <br /> ����y'c LL.i.7�7`( <br /> PRCJECT ADDRESS <br /> Z 2i'.-'7" <br /> owner MeH Address a��c�1���G-y�C�su�azq �e <br /> �d c�T r �P.��1 ��1t�1 �ct��F ('�Ne�Lts �Ve�c,�7 W� <br /> Tenenc MallAd.•asg R1�1-/by}b5�s�c�ni� suiarziP an� <br /> N,�k�.�� �7�4T�- �c �-r-rnvs L�� �1�.1� � wA ���/z�-r,��s��i <br /> Eleclrical Contractot Mail Address ��b Sf°���P P110"° <br /> n���'7r� `"" r���� Contract Price of Work <br /> tate License Number <br /> Proposed Use of Building Contact Pereon (Plan Review) <br /> Description of Work to Be Done: <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 FACIL TIES AND ALL HEALTH CARE FACILITI SIPLANS WSLLE E REVIEWED BY THIS OFFICETHER <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 16 NCHESSABOVE THECFLOOR.AWAC 51�-20 SEC 3706(�2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> RANGESIOF WAC 5E 20 S C 9N 6 b)4CE &FI ANDRNOT LE S THAN 36LINCHES ABOVEUTHE�LOOR�N THE REACH <br /> 1 HEREBY CEATIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND CORHECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFlED HEREIN OF <br /> NOT, THE GRANTING OF A PEFMIT DOES NOT PAESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br /> STATE OR LOCAL LAW AEGUUITING CONSTRUCTION OH THE PERFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FON WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296200 WAC. ' <br /> / J� � ��? FEE <br /> ( � <br /> Signeture Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �03/I`OZR <br />