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� <br />ELE <br />o"RI�AL PERMIT A�PLI�ATION <br />CITY OF EVERETT PERMIT SEHVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />_ `1 i ,7 �Ff''(�,�F � :1 c_ �� <br />PROJ�CT ADDRESS <br />��C ��r, z�rl <br />O�vner Mail Address Ciry State2ip Phone <br />Tenanl Mail Adtlress City State2ip Phone <br />�C�(�1 Et� ��c 7�+1� e�►�� F„-I f��� �E2oI 'z�2-y�lc-7 <br />Elecirical Contraclor Mail Address City State2ip Phone <br />�`�" ' ICM�11�c�c•7 [-._J i _ <br />Stale License Number <br />—Jr�� <br />Proposed Use of Building <br />Description of Wark to Be Done: �`� D <br />�B�L). n0 <br />Contract Price of W ork <br />Contact Person (Plan Review) <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 />EDUCATIONAL FACILBITI 9 AND ALL H�EALTH CARE FACILITI SI PLANS WSLLEBE REV EW ED BY' THIS OFFI OTHER <br />NOTE: NJIRING IN NON-DWELLINGS IS REQI:IRED TO BE IN RACEWAYS, MC OR AC CABL[. <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 ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)'L. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RANGE6 OF WAC SE 20 S C�3N 6(b)4CE & FIA ND NOT LES�S THAN 36LINGHES ABOV�C-UTHE �LOOR,IN THE REACH <br />1 HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFFEC—. ALl <br />PAOVISIONS OF LA WS AND OFDINANCES GOVERNlNG 7H1S TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HeREIN OR <br />N07, 7HE GRANTING OF A PEFP�117 DOES NO7 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />OYINEF OF�TH�S PRCPERTY TO PERFORMUTNTE WORKT FOREWHI�CH AFPLI�ATON SSRMADE� ANDHI COMPLYUWITHIZTNE STATE <br />CGNTRAC70RS (.AW 18.27 RCW AND 296.200 WAC. <br />—� ;,..., � (,-��lZ q- IZ—o 3 _ <br />Signature Date <br />DEBI7 & CREDIT CARUS ARE NOT ACCEPTED E �3 ��? -� / <br />FEE <br />