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ELECI �ICAL PERMIT APrLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 <br />1' i I �- ; � 5` �1��� w��� � ti' _ <br />PROJECT ADDRESS <br />;.�J��,� �i �.��r' S�'�• c!' ���,�' � i�� ; <br />Owner �dail Address City State�Zip Phone <br />Tenant Mail Address City State2ip Phon �f � S <br />�� 1/-i�'l (L�� L LL� Fl� i �!/lc _ <br />Electrical Coniractor Mail Address <br />��� �.l ;, i1 [` i T�i'7/��'/ I <br />Sat te License Number <br />,v :> r� � <br />Proposed Use a� Building <br />Descripiion ol Work to Be Done: 1' j �( lI 1 l <br />c'1 <br />Ciry State/Zip Phone <br />� �� V <br />S o�- <br />Conlract Price o( Work <br />Contact Person (Plen Review) <br />J�n�,4% �t'rili�lL. 1C�'�� <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�AT ONAL FAGILBIT E�S AND ALL H�EAETH C R FACILIITI SI PLARIS WSLLEBE R V EW ED BY THIS OFFI OTHER <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED 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 MINIMUM <br />OF 15 INCHES A80VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGESI OF WAC 5E 20 SE LON 6(b)4CE & FI AND NOTTL S� THAN 36LINCHES ABOV�EUTHE �F OOR IN THE REACH <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAh11NED THIS APPLICATION AND KNOIh' THE SAfdE TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAINS AND OR�INANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETcD WHETHER SPEClFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME 'f0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OF LOCAL WW REGULATING CONS7FUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OY✓NER OF THIS PFOPERTY TO PERFORh1 THE WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONrRACTORS LiW iB27 RCW AND 296.200 WAC. <br />�....' ,��/Cr� <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Date <br />FEE <br />� c�o��-/'>� <br />'S y <br />