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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />PHONE. (425)257-8810 4m-rr <br />FAX: (425)257-8857 <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />City <br />State/Zip Phone <br />Mail Address <br />Tenant I <br />CuCoAliat�o(s <br />City <br />(I tc ��31ZitIE <br />State/Zip Phone <br />NO4`1 (2117,,, U,_1 wAqS701C <br />Electrical Contractor <br />Mad Address <br />City <br />p Phone <br />State/Zip <br />�.ZS. Z <br />C)0 <br />`�2 �Ur✓ <br />Slate License Number12 <br />Contract Price of Work <br />i <br />51C�PoC(f <br />_ <br />)Q(FM-4 c4 )I S <br />Proposed Use or Building <br />Contact Perso Ian Review) <br />Description of Work to Be Done: <br />f� <br />I C L' F / CG ( IL <br />C <br />r- <br />Q/1G (Vt r`'1 <br />?�f� Q111Fr� QQ f✓r C -P <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 BEFRE CITY OF EVERETT WAG 296-46-140. ALL OTHER <br />EDUCATIONAL FACILIIT ES AND ALL HEALTH CA E FACILIITI SI LL PLANS IW IILLED. E REVIEWED BY THIS OFFICE. <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 NOR. WAGHI ACCE ABOVE THE ES OR ALONG <br />51A-20 SEC B E ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAG 5ES OR 20 SEC.031)06 b)4CE 8, FIBLE ANDROUTES OF TRAVNOT LESS THAN 36 INCHES ABOVOEUTHE SHALL BE MNTEDWITHIN THE REACH <br />FLOOR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVEAUTHOR17-Y 70 VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCC OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27RCW AND 296.200 WAC. <br />F_ Of p5 -025 <br />FEE <br />Signature <br />Date <br />