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ELEC TRICAL PERMIT A� PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�. "� 1 � ��Y11�1Z� iaC� 20 <br />PROJECT ADDRESS <br />Owner <br />� �/ � ��^-C � <br />Ter,ant <br />Electrical <br />State License Number <br />Proposed Use of Building <br />Meil Address <br />Mail Address <br />Mail Address <br />CIty <br />City <br />City <br />Stete(Lip <br />StatelLip <br />aia�aup <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Description of Wark lo Be Done: I i P C� i�I�' � v �� i-� �� ���L'�C�~ — <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTIIIZING STATE FUNDS MUST BE <br />APPROVED B1 THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUCA IONAL FACILBITI S AND ALL HOEALTH CARE FACILITI SI PLANS WSLL BE R V EW ED BY THIS OFFICE. HER <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILI'fY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 5I NCHES ASBOVE T ECFLOOR.AWAC 5120 SEC. 3106(�2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EGUIPMF_NT WITHIN <br />RANGES OF WAC SE 20 SEC.�N 6(b)4CE & FI ANDR OUT L SS THAN 36LINCHES ABOVE THE � OOR �iJ THE REACH <br />I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIF/ED HEREIN OR <br />NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY OTHEF <br />STATE OF LOCAL LA W REGULA TING CONSTRUCTION OR THE PEAFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE INORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TNE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. � <br />Signawre <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�11e� FEE <br />Date <br />��3r�� -osG <br />