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� ' ELEC� :RICAL PERMIT' A�r PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi, WA 98201 <br /> 425-257-8810 - FAX 425-257-9857 <br /> � PRDOJ CT A�SS� �� �� �� � SU I�� � ' — " <br /> (1�,qP.�marr- ��i�bFi�nFrl-r- � s►S-1 ��'�"ua�� � tb�cs�'•lu� <br /> Owner Mail Address Ciry StatelLip Phone <br /> _s�.�IP(� � �-.�k'� v ��� SAMer"s AS Sr�c_ <br /> Tenant Mail Address City State(Lip Phone <br /> Electrical Contractor Mail Address Ciry StatelZip `� Phone <br /> �a "' <br /> State License Numbor Contract Price of Work <br /> '� 1(�O �'�� <br /> Proposed Use of Building _ Contact Person (Plan Review) <br /> Descripticn of Work to Be Done: r�C.��t�� � 'Tt �r — �I <br /> NOTE: PLANS FOfi 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 FACILBITIE�S AND ALL H�EALTH CARE FACILITI SIPLANS WSIL BE R V EWED BY THIS OFFI ETHER <br /> NOTE: !:'IRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDI:,APPED ACCESSIBILITY: EL�CTRICAL AND COMMI�iJlCATIONS SYSTEM FECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES f,BOVE THE FLOOR. WAC 51-20 SEC. 31�6(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABIE EQUIPMENT WII'HIN <br /> RANGES OF WAC 5E 20 S C�N 6 b)4 E & F�ANDR OTTI SS THAN 36 INCHES A80 EUTHE D OOR IN THE REACH <br /> 1 HEAEBY CEATIFY THAT 1 HAVE READ AND EXAMINED THIS APPUCATICN.4IJD KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVEANING THIS TVPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED NEREIN OR <br /> NOT, THE GRANTlNG OF A PERMIT DOES NOT PRESUME TO GI VE AUTHORITY TO VIOLATE OR CANGEL THE PROVISIONS OF ANY OTHEA <br /> JWNEA OF�H1S PAO ERTY TO PF FOAMLTHE WOFKTFOREWH�CHMAPPL1oAT10NSSAMADE'AND ACOMPIYUWITH THE STATE <br /> CONTRACTORS LAW �8.27 RCW AND 296.200 WAC. <br /> _ � FEE <br /> Signature Da e <br />� ELECAP�REV8.2001) ��0��^07� <br />