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ELECT RICAL PERMIT APeLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />LTv(3" <br />I ` <br />`" <br />��-r f ,'_ <br />PROJECT ADDRESS <br />��rz <br />P• o• i2�x <br />grZi2� <br />PArL ��., o� �"7242 <br />� � <br />Owner <br />Mail Address <br />City <br />5;ate.2ip Phone <br />t: t <br />1t tt <br />`t <br />Tenant <br />Mail Address <br />City State/Zip Phone <br />Wp, qA3 4 Zg6e23 <br />-P 5e1Nz ( <br />`- z�;- +Tµ <br />SJTrI_ <br />Electrical Contractor <br />Mail Address <br />City <br />State/Zip Phone I IZZ <br />::CJ Z�Ni <br />(I o7J f-E <br />(sue o . <br />State Licanse Number <br />Contra-1 Price of Work <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Contact Person (Plan Review) <br />St <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 />APPROVED EDUCATIONAL FACILIIT ES AND ALL HEALTH CARE FACRE CITY OF EVERETT ILITIES SWILL <br />PLANS WILL BE ISSUED. <br />OTHER <br />E REVIEWED BY THIS 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 S ACCESSIBLE E THE <br />SPACES <br />FLOOR. ALONG <br />AC ESS1B E ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />INCHES <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC 5ES OR 20 SEC. <br />310 (b)4CE & FIBLE ROUTES AND NOT LESS THAN 36 INCHES ABOVOEUTHE FLOOR. <br />F TRAVEL SHALL BE MNTED IN THE REACH <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SA41E 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 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR. THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAD. i (] ,Q�", <br />FEE <br />Date <br />NOT ACCEPTED <br />