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ELEC�� r�ICAL PERMIT APr'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> r J' � O '�' G��e� ��e�,. ��� <br /> PIiOJECT ADDRESSI <br /> ���'t�' � c\ SA�'.� — <br /> Owner Mail Address City Slatc2ip Phona <br /> � 1 L I��CG� <br /> Tenant Mail Address City State2ip Phone <br /> �- } � " 70b 2� C S'o�- <br /> l-c�5 0�..,.s G�c��r�c • �„✓" <� il�e � <br /> Electrical Conlraclor Mail Addre�s Ci State2ip Phone <br /> � As-r i�� vy�fv5 � 2v� - <br /> Stata License Number Contract Piice of Work <br /> ����4-f„ 3l�5�� <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description oi Work to Be Done: 1 e--\e-P� � `� �� "^ �"� ��`'J � � <br /> �-� �f � �2 <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 FACILBITIE�S AND ALL HOEALTH CA E FACILITI SI PLANS WSLLEBE REV EWED BY THiS OFFICE.HER <br /> NOTE: WIRING IN NON-D'JVELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMU��:CATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 16 NCHES ABIOVE THE FLOOR.AWAC 5120 SEC.3 106(02TES OF TRAVEL SHALL BE MOUNTED A MIPJIMUM <br /> ENVIRONMENTAL AND OTHEfl CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 SEC.SNO6(b)4CE& F'ANDR OTTLES�S THAN 36LINCHES ABOV�EUTHE�LOOR IN THE REACH <br /> 1 HEREBY CEATIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND f(NOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK YVILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORlTY TO VIOLATE OR CANCEL THE PHOVfS10NS OF ANY OTHER <br /> STATE OR LOCAL L�W REGULATING CGNSTRUCTION OR THE PERFORMANCE OF CON57RUCTION. THAT I AM AUTHOFIZED 8Y THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR LNHICH APPLICATlON IS MADE AND I COf�iPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. � <br /> /� �Q " � � /3 !� FEE � <br /> �� r <br /> SignaWre Date <br /> DEBIT&CREDIT CARDS ARF NOT ACCEPTED ��`�G 3 -fJ/7 <br />