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ELECT. �ICAL PERMIT AP� �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� �i � I o �.k.�. A-�. G, -��r�- , <br />PROJECT ADDRESS <br />Nt A�c.L�Y� l31 a�I� b �� �-� �� � � o a�- �-ti�- � r�F- — <br />Otvner Mail Address City State2ip Phone <br />-�i^ "�1 G <br />Tenant Mail Address Ciry State2ip Phone <br />PiNr <br />ConVactor Mail Address <br />I�-a� �G �r� ��� 6 J'i _ <br />State License Number <br />�r- �-- - <br />Proposed Use of Building <br />Description ol Work to Be Done: _ �L�'��� �''�-- <br />City <br />� <br />State2ip <br />� uo � <br />Contra t Pnce ol Work <br />Contact Person (Plan Review) <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY TI1E STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUCOATIONAL FACILBITIE�S AND ALL H�EALTH CA E FACILITIESIPLANS WSLL BE REV EWED BY THIS OFFI �THER <br />NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECFPTACLES 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 AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />RANGESI OF WAC 5E 20 SEC �3N06(b aCE & FI AND NOTTLES�S THAN ?6LINCHES ABOV�E THE �LOOR IN THE REACH <br />-FFEBY CERTIFY THAT 1 NAVC- FEAO AND E-XAA1INED iHIS APPLICATICN AND KNOW THE SAh1E TO BE TRUE 4ND COFFECT. ALL <br />Fi=GVISIONS OF LA�vVS AND CFDINANCES GCVEFNING THIS TYPE OF WO.SK WILL BE COMPLETED WHE7NEF SPECIFIED HEFEIN OR <br />VOT. THE GRANTING OF A PERMIT DOES NOT FFESUM11E TO GIVE AUTNOFI7'Y 70 VIOL.7TE OF CANCEL i HE PFGVISIONS OF ANY OTNEA <br />S7A7E OR LOCAL LAW FEGULATING CONSTFUCTION OR THE PEFFGFMANCE OF CONSTFUCTION. THAT I A!d AUTHCFIZED BY THE <br />Cl^NEn OF THIS PROPERTY TO PERFOFId TNE IYOFih' FCR LYHICH AFPLICATION IS R1ADE AND 1 COd1PLY WI7H THE S7ATE <br />CCNTnACTORS LAW 1827 RCW AND 29ti.200 WAC. <br />SignaNre <br />GEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�� <br />Date <br />FEE <br />� �'�� — �%C� � <br />._ � <br />