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� <br /> ELEC?RICAL PERIVIIT APPLICATION <br /> CiTY OF EVERETT PERMIT SERVICES �--19�a7 <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 �-D7p`7���,p <br /> 425-257-8810 - FAX 425-257-8857 <br /> I�I1 I�� ��r � ��°�.:� _ <br /> OJECT ADDRESS <br /> � a�, ��.ti �a «�.�� i�.� �i�;A�� .��.�.� �ia�-���� ��� <br /> Ownef <br /> MailAddress City State2ip °hone <br /> �`;��-v�`�(a<� �`JJ� � <br /> Mail Address City Sta�e/Zip Phane <br /> Tenant �Q <br /> \ - �f, �� �� �" `J�� State2 Phone <br /> E ectncal Conlractor n�taii Address Ciry P <br /> l r� L 1-1 �1� �l 3� - ��t-I, I Ql�0� <br /> State License Number <br /> Contracl Price of Work <br /> � ��L� � ,C�.�� �� �� . �Y�l(�S <br /> Proposed�of uilding r' Contact Person (Plan Review) <br /> L �I,�. -�K�;S� (��� <br /> Descnplion of Work to Be Done: <br /> �nS�1\ ( �� ��10� I�T���?��r�,f�a ��— <br /> � �.,�,;��,�,c�� ,�,�,� �� n�r�\ �.o� c���a.�--fif ca ��.�r_� . <br /> ��,�\ a ��� c��.�'s��e�-.. �,, �as -�t� c� �c Q�►� , �C�I �0 <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 /> EDUCA IONA FACILITIES AND A L�EALTH CARE FACILITIESI PLANSIWILLE E REVIEWED BY THIS OFFICE.HER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEW.4YS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF SIN CHES ABOVE THECFLOOR AWAC 5120 SEC 83106(02TES OF TRAVEL Sf;ALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�3N 6(b)4CE 8 FI AND OT L S�THANv 6LINCHES ABOV�E THE�F OORIN THE REACH <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PROVI:IONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMFLY WITH THE S7ATE CONTRACTORS LAW 1827 <br /> RCW AND 296.200 WAC. <br /> �� O.nc�� � � .�' �-- 1 FEE <br /> SignaWre Date <br /> ELECAP�REV82001) �O l U Z — I��� <br />