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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />ZT�n—Fu2mixiarl /,Vc 'EIL 3 <br />PROJECT ADDRESS <br />nr rT P.,fOFT <br />Owner Mail Address City StateMp Phone <br />^4rtl"15 -fs& -k"(D '�ox $'' ComI4aa QA 98Zjfi C )3�I-SSoo <br />Tenant Mall Address City <br />Mail Address City <br />MACl7or n F q 7z3 F <br />State License Number <br />IEM(;' �ACIi IOLSL12- <br />Proposed Use of Building <br />StateOp Phone <br />04 <br />Contract Pnoe of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: QfE,,�a rax,s"/a4 L)57n-4GeajoricO latji✓K 2EEylc1F <br />UNr7'lL4Q.ov �C� 5� 12t/�cE �i'w4 <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 HE STATE <br />APPROVED PLANS BEFORE EDUCATIONAL FACILITIES AND A L HEALTH CARE PERFACOF EVERETTIILITIES PLANSIT WILL BEIWILL BE REVIEWED BY THIS O FICE.HER <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OFT IINACCESSIBLE NCHES ABOVE THE ES OR FLOOR. 5AC ACCSECESSIBLE <br />LE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSRANGESBLE OF WAC 51ES OR 20 SEC. 31C .)4CE & FIBLE AND NOT ROUTES <br />E S THAN 6LSHALL BE MOUNTED WITHIN INCHES ABOVE HE F FLOOR. <br />HE REACH <br />1 HER CERTIFY THAT 1 HAVE READ AND E AMINFO THIS APPLICATION AND KNOIN THE SAME 70 BE TRUE AND CORRECT ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEGFIED HER OR NOT <br />THE GRANTING OF A PERMI? DOES NOT PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br />H LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNF_R OF <br />RCIW AR PER ND Y96.200TWACRFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH 7HE STATE CONTRACTORS LAW 18.27 <br />( / FEE <br />Signature Dale <br />ELECAP(REV U2001) <br />.o 5 a% Z� <br />