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ELECT�.ICAL PERMIT APF�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425457-8810 - FAX 425-257-8857 <br />(,S /� c.J�i1�o��. �/�� <br />PROJECT ADDHESS„ <br />Owner Mail AdCress Ciry StetelZip Phone <br />TenaM <br />Mail Address <br />ContraCtof Mail Address <br />�NNFS_7)F7 [��y�� <br />State License Num6er <br />� — <br />Proposed Use of Building <br />City <br />Ciry <br />Sta�e2ip <br />Stete2ip <br />Conlract Price of Wark <br />Contact Persan (Pian Review) <br />Description of Work to Be Done: (�/� £ ��� /�UC��3�/N ��K/N/ <br />Phone <br />Phone <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 />EDUCATIONAL FACILBIT ES AND ALL �EALTH CARE FACILITI SI PLANS WSLLEBE R V EW ED BY THIS OFFICOTHER <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 ACCESSIBIE 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 COh:TROI RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RANGES OF WAC 5E 20 S C�N06(b)4 E 8 FI ANDR OU7 E SS THAN 36LINCHES ABO EUTHE �LOOR IN THE REACH <br />1 HEFEBY CERTIFY THAT <br />PROVISIONS OF LAWS A� <br />NOT, THE GRANTING OF A <br />STATE OR LOCAL LAW R! <br />RCW <br />READ AND EXAMINED THIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORFECT. ALL <br />IJANCES GOVERNING THIS TYPE OF WORK WILL 6E COMPLETED WHETHER SPECIFIED HEREIN OR <br />' DOES NO7" PFESUME TO GIVE AUTHORITY TO VIOUITE OR CANCEL THE PROVISIONS OF ANY OTHER <br />'NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC710N. THAT I AM AUTHORIZED BY THE <br />� aFwFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TNE STA7E <br />Signature Date <br />FEE �� ^ <br />ELECAP�REV82001) E�/%� /1JC'�, <br />o- F ' i <br />