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ELECTRICAL PERMIT APPLICATION <br />PROJECT ADDRESS <br />Owner <br />CITY OF EVERETT PERMIT SERVICES <br />3200 r`EDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Met Address <br />City <br />Tenant Mee Address City <br />Electrical ContrAclor Mal Address CM' <br />wASHlc 71 G D <br />Slate License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />(IrifU( <br />f kfA fj'Zo <br />Slatemp Phone <br />State2lp Phone <br />Statemp Phone <br />S;D, -- _ <br />Conlrect Price of Work <br />Contact Person (Plan Review) <br />yj <br />NOTE: PLANS FOR ELECTRICAL'NORK 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 EDUCAATIONALLFACILITIES <br />E <br />ACI IT S AND ALL HEALTH CARE FACILITIES SIT ILL BE PLANS WISLLED. WAC 296-46-140. ALL BE REVIEWED BYTHIOTHER <br />S 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 />WITHIN <br />ACCESSIBLE <br />SPACES <br />FLOOR. WAC ASiSEC. ACCESSIBLE <br />ROUTES <br />TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF5NAE THE <br />ENVIRONMENTAL AND OTHER 'UNTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC 5SPACES0 SEC ON 6(b;4 E 8 FI AIND NOTTES OF LESS THAN 36 INCHES ABOVE THE FLOOR. <br />SHALL BE MOUNTED IN THE REACH <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 GRAN77NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LCAL LAW REGULATING Y 774E <br />OWNER OFOTHIS PROPERTY TO PERT ORM UT E WORK FOR PERFORMANCE <br />AIPPLICATION IS MADE AND I COMPLY WITHTITRI B THE STATE <br />CONTRACTORSLAW 1 B 27 RCW AND 296.200 WAC. q 2 <br />FEE <br />Signatve (,/�J'7"7v - _d a' Date <br />DEBIT 8 CREDIT CARDS ARE NOT 41.C2;;TED EG3i2_ 0 f P <br />L•2 LS898_S S2bi:01 :woaj 62:90 2002-61:-330 <br />