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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�1��'� �L.�i�^'1.T�lL l�L—V� <br />PROJECT ADDRESS _ „ <br />Owner <br />Tenant <br />Meil Addiass <br />Mail Address <br />Ciry <br />City <br />Stete2ip <br />Stele2ip <br />�t S zOS `LLiz.SK <br />Phooe <br />Phonu <br />u) �C <br />Eleclrical Contracicr Mail Address �ib S�B�eIZiP ��^� <br />Stete License Number <br />j� OH--�_ <br />Proposed Use of Buflding <br />Contracl Price ot Work <br />Contacl Person (Plan Review) <br />Description of Work to Be Done: n i i i� i 2�C7 � l.L L L'� � �� �r 14-r��-L✓_ � <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 />EDUCATIONAL FACILBIEES AND ALL HEALTH CA E FACILITIESI PLANSIWILLE E REVIEW D 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 />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 EQUIPMENT WITHIN <br />RANGE3 OF WAC 51 20 SECLON�G (b)4CE 8 F AND NOT E SS THANV36LINCHES ABOV� THE�F OORIN THE REACH <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA710N AND KNOW THE SAME 70 BE iRUE AND CORRECT. ALL <br />PROVISIONS OF LAW'S AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WNETHER SPECIFIED NEREIN OR NOT, <br />THE GRANTING OF A PERMIT DOES NOT PRESUME 70 GIVE AUiHORITY TO VIOU1 TE OR CANCEL TNE PROVISfONS OF ANY OTHER STATE <br />�HIS PROPERNTO PERFORM �HEWORK �OR WHICHAPPLICA�ON S MADEAND� COMPLY WITH THE S A E�CONTRACTORS�LA�yyER�O� <br />RCW AND 296.200 WAC. <br />SignaWre oate <br />ELECMIREV &20�1) G � � ,�p , � S 7 <br />L U/I / <br />FEE <br />