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ELE� �TRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425.257-8857 <br />7720 Hargesoh <br />Rnal <br />PROJECT ADDRESS <br />jd ^ n �iry�r„7ca�cS <br />.5/,:te ZCR <br />L� ¢IYGY'k4�a f�le <br />�/a 97ftl <br />Owner <br />Mail Address City <br />Slate/Zip <br />Phone <br />kd,g 'rfi'Kn 7')JON[l <br />�{. <br />[36.1fC 0 f/erell <br />wa, /'Fx3 <br />Tenant <br />l/� �,, <br />r„c l� <br />Mail Address City <br />a_ n <br />Z� 6 ZJeLLmaj <br />StalelZip <br />w l8d �3-60i? <br />a <br />Phone <br />91t2 55Y- y030 <br />r; -Nor K <br />ledncal Contractor Mail Address U / City <br />< <br />UJ� <br />State/Zip <br />Phone <br />L`f�J <br />�` 3ZkN <br />State License Number <br />sl�lzo�� <br />Contract Price of Work <br />L ' �1 TrY o �i" •� <br />5��� <br />IrLtaI <br />Proposed Use of Building <br />,tarl Person (Plan <br />Review) <br />Review) <br />✓.'ie 4b�'✓� J i <br />1 T fIGTY wI <br />(( / <br />1 f �.L:. S'U II /O &d'l /ieAY. iel E <br />^ <br />Description of Work to Be Done: <br />a <br />2 �� <br />As su<c/ Htnf�s <br />. d (><7v�+�i e 1 � �x:s%• <br />�J Zry 0/wrdra..y �ay'^ <br />/,� /` 1 <br />/ /T/ 2i 7l 1J <br />s� r 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 />APPROVED PLANS EFORE EDUCATIONAL FACILITIES AND AL HEALTH C OF EVERETT E FACILIPERMIT TIES ISSUED.LL BE ITIESPLANS WILL BE REVIEWED BY THIS OFFICE.HER <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WI IN ACCESSIBLE SPACES OR ALONG WAC SACCESSIBLE <br />ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />SINCHES ABOVE THE FLOOR. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC 51BLE ES OR 20 ECL NG 3106 b)1 E & FIBLE ANDROUTES OF NOT LESS THAN 36LSHALL BE INCHES ABOVOE)THEOF FLOOR. <br />WITHIN THE REACH <br />OR. <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROI'SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br />BY THE OWNER <br />THIS PROPERTY To PERFORM THE WORK OR WHICH APPLIR LOCAL LAW REGULATING CONSTRUCTION OR THEOCAPON RMANCE IS MADE AND I COMPLY WITH THE S AOF CONSTRUCTION. THAT I AMT EORIZED CONTRAC ORS LAW 8..227 <br />RCW AND 296.200 WAC. <br />FEE <br />r � <br />0-- Signature <br />ELECAP(REV SMI) <br />rCI'ra <br />