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APPLIC�('ION FOR ELECTRIC� PERMIT <br />CITY OF EVERE1i <br />BUILDING DIVISION <br />3200 CEDAR SiREEf <br />EVERETT, WA 98201 <br />PHONE• (425)257-8810 <br />FAX: (425)257-8857 <br />'�.�/Z fi G,�ro�oz€ C-��I' � <br />PROJECT ADDR� SS ^�/ 1 <br />�;..�..m_ � / ;_c—s /UnC�'c1l�"1 .�p S�LV• <br />Owner <br />Tenant <br />Electrical <br />State License Number <br />1,.r.r �w�it� �_ <br />Proposed Use of Buil ing <br />Description of Work to Be Jone� <br />Mail Address <br />Mail Address <br />Mail Adtlress <br />Cily <br />Ciry <br />City <br />State2ip <br />Stafe2ip <br />Slate2ip <br />Contract Price of Work <br />� <br />�i <br />� ?7/b <br />Phone <br />Phone <br />o�5'd • <br />Phone <br />Contact Person (P�an Review) <br />NOTE: PLANS FOH ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 8E <br />APPROVED PLANSEBEFORE �C TYVOF VER�TT PERMITAWILL BEHSSUED. J WACM 96 46-H Ow ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIE�NED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 5� NCHES ABO F THECFLOOR.AWAC 5120 SEC 3 106(�pTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTA� AND OTHER COIJTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC 5E 20 S C�3N 6(b)4CE & Ff AND NOT LESOS THAN 36LINCHES ABOV�EUTHE �LOOR IN THE REACH <br />1 HEREBY CERTIFY THAT 1 HAVE REAC AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF U WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT. THE uRANTING OF A PE.9MIT DOES NGT PRESUME TO GIVE AUTHORITY TO VIOLAT� OR CANCEL THE PROVlSIONS OF ANY OTHER <br />STATE OR LOCAI L4W AEGULATING CONSTFUCTION OF THE PEFFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZE� BY 7HE <br />OWNER OF THIS PAOPEATY TO PEAFORM THE WORK FOR WHICN APPLICATION IS MADE AND 1 COMPLY WITH THE STA7E <br />CONTRACTORS Lr1 W 18.D FCW AND 29fl.00 WAC. <br />� <br />Sigaature <br />ELECAP(REV 89Br <br />3, �' O I FEE <br />Date <br />FQro3 -oo� - <br />