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ELE <br />i'RICAL PERMIT ANPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�(KlLjc� 1��1'1� <br />3 �� ,-0 3 <br />C—o 3a3-�3 <br />PROJECT ADDRESS <br />�LUI� I` T i�/1,5T <br />Owner <br />Mail Atldress City State2ip Phone <br />Tenant <br />Mail Address City Stale2ip Phone <br />l 1 J� �7L7i ( l-� � <br />Elec� al Contraclor Mail Atldress City S�ate2ip Phone <br />Stale License Number <br />S �12 <br />Proposed Use of Building <br />Descriplion ot Work to Be Done: <br />S <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />L'7L�/� GC� <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 />EDUC�AT ONAL FACILBITIE�S AND A ��HEALTH CA E FACILITI SI PLANS WSLL BE REV EWED BY THIS OFFI OTHER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC C1R AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 16 NCHESSABO E THE FLOOR. WA 51�-20 SEC 3 106(�2 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGESI OF WAC 5E 20 S C�3N 6(b)4CE & FI AND OT LES�S THAN 36LINCHES ABOV�EUTHE �F OOR IN THE REACH <br />I HEREBV CERTlFY THAT I HAVE READ AND EXAh41NED THIS APPLICATION AND KNOW THE SAME TO BE 7RUE AND COFRECT. ALL <br />PFOVISIONS OF LAWS AND ORCIfVANCES GOVERNING TH/S TYPE OF WORK WlLL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PEFMIT DOES NOT PRESUM1IE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISlONS OFANY OTHER <br />OWNER�OF�HIS PROPERTY TO P R�OFh1UTHE�WORKTFOREWH�CH1 APPLI�ATOONSSRMADE ANDHI COMPLYUWI�H'THEBSTATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Date <br />DEBIT & CREDIT CARDS ARE PIOT ACCEPTED <br />-?� FEE <br />�o3o�i-�'i 3 <br />