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ELEC RICAL PERMIT A�-�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> l�� � �� ���+ .���' <br /> PROJECT ADDRESS <br /> , r L/���le�a�.� y7z6 �6�sts� �,�- wfi `7�rz Y87�b-3 <br /> Owner Address City StatelLip Phone <br /> rJt'�q�'�- <br /> Tenant � Mail Address City StatelLip Phone <br /> �u�r�� �-�e � ����°�c-- <br /> Electrical Contractor Mail Address iG ty State2ip Phone <br /> Stale License Number Contract Price of Work <br /> Proposed�ot uilding Contact Persan (Plan Review) <br /> Description of Work to Be Done: �� r'S�"K..� !�'' `"—"'� �( ""� <br /> ; <br /> x <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�TIOhA FACILIT E�AND ALL�EALTH CA E FACILITI SI PLANS WSLLE E R VAEW ED BY THIS OFFI ETHER 3 <br /> i <br /> NOTE: WIRING IN NON-DWELLINGS IS AEQUIFED 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 MINIMI�M <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 /> RANGESIOF WAC 5E 20 SEC.�N 6(b)4CE& FI AND NOT L SS THAN 36 INCHES ABO EU HE �LOOR IN THE REACH <br /> I HEREBY CERTIFY THAT 1 HAVE P.EAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PAOV/SIONS OF LA WS AND ORDINAMCES GOVERNlNG THIS TYPE OF WORK WlLL 6E COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> OWNER OF�HIS PROPEFTY TO PERFORM UTHrE WORKT FONEWHICH APPLICATI�ONNSSRMAOE ANDHA COMPLY WI�H'THE STa E <br /> CONTFACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> �� G� � �.S D�_ FEE <br /> Sigr.ature � Date <br /> ELECAP�RE�'8I2001) +=c�ao3-c7;� <br />