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ELEC`� r�ICAL PERlVIIT AF�LlCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�705 i��sr <br />PROJECTADDRESS �� e��� <br />� � 30� ,�' �o y s,T � s <br />��ainz �1 �SSe <br />Owner " <br />V � o�� <br />Tenant <br />� <br />� erv;< <br />Contractor <br />Mail Address <br />Mail Address <br />Mail Address <br />/fG�SFL�-o f��aN <br />�Slate License Number <br />/� � % ' <br />>l�o i -a !tf?/ � <br />Propo Use o( Building <br />Description of'Nork to Be Done: <br />Ciry <br />Cilv <br />�/ � <br />City <br />!�/, ��/o� <br />State2ip <br />State2ip <br />; � i�� Y� Y�5 <br />State2ip <br />Conlracl Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phono <br />-33�i%.%.l 7 <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS �NITH SUCH JOBS MUST SHOW THE STATE <br />EDUC� IONAL FACILBITIE9 AND ALL �EALTH CA E FACILIITI SI PLAN WSLL BE REV EWED BY THIS OFFICE. HER <br />NOTE: W IRING IN NON-DW ELLINGS IS RE�UIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SY'STEM RECEPTACLES ON WALLS <br />OF 16 NCHES ABOVE THE FLOOR.AWAC 5120 SEC 3 106(�2 TES OF TRAVEI_ SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGESI OF WAC 5E-20 SEC. 3N 6(b)4CE & FIB ND NOT L S3 THAN 36LINCHES ABOVOEUTHE � OOR IN THE REACH <br />1 HEFEBY CERTIFY THAT 1 fiAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAhfE TO BE TRUE AND COFFECT. ALL <br />PAOVISIONS OF LA WS AND OROINANCES GOVERNWG THIS TYPE OF WORK WILL BE C061PiETED WHETHER SPECIFIED NEFEIN OF <br />NOT, THE GRANTING OF A PEflid17 DOES NOT PRESUME TO GIVE AUrHOflITY TO VIOLATE OACANCEL THE PflOVISIONS OF ANY OTHER <br />STATS OF LOCAL LAW FEGUI.ATING CONSTAUCTION OR THE PEAFORM1IANCE OF CONSTRUCTION. THAT 1 AM AUTHOFIZED BY THE <br />OWNER OF THIS PFOPERTY TO PERFOFAI THE WORK FOR WHICH dPPLICATION IS MADE AIJD 1 C4MPLY WITH THE STATE <br />CONTRACTORS LAW 78.27 RCVj�� f ND 296.200 WAC. <br />jSignature � <br />DEBIT & CREDIT CARDS ARE NOT RCCEPTED <br />� �309-o9�f <br />FEE <br />