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ELEC� riICAL PERMIT AP�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />1�2.� ��o�b S1/� Lo�' I� <br />PROJECT ADDRESS <br />C6ld�C�,-��� I� — <br />Owner <br />Tenanl <br />Meil Address <br />Mell Addresa <br />City <br />Ciry <br />S�etelZip <br />Stete2lp <br />Phona <br />Phone <br />I«,n� r�.���tir� ��N� �� �.,���u� z�zf��� <br />Eleciricel Contractor Mall Address City State2lp Phone <br />kn�r-trc.-�a76-�1 <br />Stete License Number <br />SF2 <br />Proposed Use of BuilAing <br />1, <br />Description of Work lo Be Done: ' Z[� D(� � q�l/� c,t. <br />l�,'oo ..'� <br />Coniracl Price ol Work <br />Conlect Person (Plen Review) <br />NOTE: PLANS FOR ELECTftICAL W�RK AT EDUCATIONAL, FACILI�IES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. �bAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIFS AN� ALL HEALTH CARE FACILITIES PLAyS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRE7 TO BE IN RACE'NAYS, MC OP AC CABLE. <br />HANGICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SVSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPA�ES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 1NCHES ABOVE THE FLOOF. WAC 51-20 SEC. 3106(c�2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABIE EnL�IPMENT WITHIN <br />RANGESI OF WAC 5E 20 SEC.�3N 6�b)4CE 8 FI AND OTTE S6 THAN 36LINCHES BBOV�EU HE F�LOCIR IN THE RE,>"H <br />I HERf'BY CERTIFY THAT I HAVE READ AND EXAMINED THIS APFLICATlON AND KNOW THE SAME TO BE TRUE AND COFI7ECT ALL <br />PROVI;tIONS OF LAWS AND OFDINANCES GOl'ERNING THIS TVPE OF WORH WILL BE COMPLETED WHETHER SPECIFIED HEFEIN 7N <br />NC�T, T 1E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF <br />S In � F OF LOCAL LAW FEGULATING CONSTAUC710N UF THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNE? OF THIS PROPERTV TO PERFORM THE WOFK FOR WHICH APPL/CATlON IS MADE ANn I COMPLY WITH tHE STATE <br />CONI}'.CTORSL4W 1817RCLV4N0296200WAC <br />'l,t,—� (�f (!Uw-r� Z � � `0 �L <br />SigneNre Oelo <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED � 0�{ Ol -G�7 <br />FEE <br />