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ELECI ��ICAL PERMIT APr LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 • FAX 425-257-8857 — � �'g� � " "r'• <br />PROJECT ADDRESS <br />? ��b' �,=�/��o A�2 £'� c��� <br />Owner <br />Tenant <br />Electrical Contractor <br />PAaI Address <br />Mail Address <br />P(_ ,3�1 l�� <br />Mail Adtlress <br />City <br />Ciry <br />v0, E� <br />Ciry <br />/�l � : u£; �i '� S� V - <br />Slate License Number <br />S- � — �� <br />Proposed Use of Building <br />Slato2ip <br />Sinle2ip <br />Steto/Zip <br />Phona <br />Phone <br />`/.� 5 :35'S-3o <br />Phone <br />/� / S� G <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of W ork to Be Done: ��ir X, r�,L/ �1 � C�� �'N ��/�� ��% N�f C/�%ef r <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 FACILBITIE�S AND ALL �EALTH CARE FACILITI SIPLANS WSLL BE R V EWED BY THIS OFFI ETHER <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, A1C OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />�VITHIN 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 />EtJVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC SE 20 SEC.�3N 6(b 4CE & FI A D OT L SS THAN 36LINCHES ABO EUTHE �LOOR �N THE REACH <br />1 HEREBY CERTIFY T.4AT 1 HAVE READ AND EXAh11NED 7N15 APPLICATION AND KNOW THE SA�dE TD BE TRUE AND COARECL ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVEFNiNG THIS TYPE OF WORK LYILL HE COM1IPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PEFf�fIT DDES NOi PFESUM1IE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF i1 NY O7HEA <br />STATE OR LOCAL LAW FEGL'LATfNG CCNSTFUCTION OR THE PEFFOFh1ANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZED BY THE <br />G:':L'EF OF THIS PFOPERTY TO PEFFOR.11 7HE WOFK FOR WH1CH APPLICATION IS MADE AND I COMPLY W�TH THE STATE <br />CC`:Tn^.FCrORS LAW 19.27 RCW AfJD 296.�00 IYAC. <br />, ; <br />S�gnature ��10 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />FEE <br />��;;<%1 �� <br />