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ELE <br />RICAL PERMIT A� �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� 7 �/,� 5 T � �' - <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrical Contractor <br />Q Ll n �� ��� m �- <br />Mail Address ���Y <br />Mail Address Ciry <br />!/3 ? o <br />r• Cnc. ,��3-�A 1c'✓r N <br />Meil Address City <br />N� r f� .�� o�/'/ h'l !� <br />Stale Liconse Number <br />Proposed Use of Building <br />Slale2ip <br />Stete2ip <br />Slele2ip <br />P�one <br />Phone <br />�` o <br />99J�.3 � s� r, <br />Contrect Price of Work <br />Comact Person (Plen Review) <br />Description ol Work lo Be Done: rY irr b I°� w �r /" a/'�-- � <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTIL'ZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUC�A IONAL FACILBITIE�S AND ALL H�EALTH CARE FACILIITIESI PLANS WSLL E REV EWED BY THIS OFFI OTHER <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OFi 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 ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c�2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RANGESIOF WAC 5E 20 SEC.�3N 6(b �CE & FI AND NOTTLESS THAN 36LI CHES ABOV�EUTHE F OOR IN THE REACH <br />i NEREBY CERTIFY TH4T I HAVE FEAC AND EXAMWED THIS APPLICATION AND HNOW TNE SAME TO 9E TRUE ANO CORRECT. ALL <br />PFOVISIONS OF LAWS AND OROWANCES IiOVEFNING 7HIS Tl'PE OF WOFK WILL BE COMPLETE� WHETHER SPECIFIED HEREIN OR <br />NOi, THE GRANTING OF 4 PERM1IIT DOES NOT PRESUME r0 GIVE AUiHORITY TO VIOLATE OR CANCEL 7ME PROVIS/ONS OF ANY OTHER <br />STATF OF LOCAL LAW REGULATING CONSTFUCTION OR iHE PERFORMANCE OF CONSTFUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNEN OF 7HIS PqOPERTY TO PERFORM THE WCRK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW iP..7 RCW AN0 '196200 WAC. <br />Si9nalure <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />J 9 Q 3 FEE <br />Cate <br />F�� ;,i0 ' C�� <br />Y <br />