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ELECI�ICAL PERMIT AP� LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425•257-8857 <br /> '�o/1v SFr4ll/E�1 l,��14� — <br /> PROJECT ADDRESS <br /> Owner Mait Address Ciry Slete2ip Phaie <br /> A�a 11 I.1,..�C'� Sar�_ SFa�iiEY., wIA� EUeR�� �i�/4 9aao� 5��.?s-X9o�yl3 <br /> Tenant Mail Address City Stete2ip Phone <br /> �w av��C <br /> Electrical Coniracror Mail Adaress Ciry StatelLip Phone <br /> (/W Ne� <br /> State License Number Contract Price al Work <br /> �es�rl�r �� a ' <br /> Proposed Use of Bui�ding Contact Person (Plan Review) <br /> Description of W ork to Be Done: ��' � Se¢V�c -z � h✓"< � ' (�1� ���6 ��`� 9���hoX_ �S��T�• <br /> C' � lU7-��O/ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APFROVED BY THE STATE OF WASHINGTON. A^PLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCOATIONAL FACILBITIES AND ALL H�EALTH CARE FACILITI SI PLANS WSLL BE REVAEWED BY THIS OFFICE.HER <br /> NOTE: W IRING IN NON-DWELLINGS IS REdUIRED 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 /> RANGES 0 EWAC SE 20 S C�3N 6 b)4CE& F�AND OTTL SS THAN 36LINCHES ABOV�EUTHE�LOOR IN THE REACH <br /> 1 HEFE6Y CEATIFY THA7 1 HAVE FEAD AND EXAMINED THIS APPLlCATION AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL <br /> PROVlSIONS OF LA WS AND ORDINANCES GOVERNlNG THIS TYPE OF WOFK WILL BE COMPLETEO WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> OWNER OF�TIIIS PROPEFTY TO °ER�ORMUTHTE WORKrFOR WH�CH APPLICAT�ONNSSRMADE AND ACOMPLYUWI�N'ZTHE STATE <br /> CONTRAC70RS IAW 18.27 RCW AND 296.200 WAC. <br /> j <br /> , �-�- � / FEE <br /> ;��.� �.�- � .� <br /> —� Date <br /> Signalure <br /> ed� �a-a« <br /> ELECAP(R"c4 8R001) <br />