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� <br />� <br />ELEG�'RICAL PERMIT A�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PROJECT ADORESS <br />,�O/O 6'3S' <br />Owner Meil Address �iN S�°�eIZ�P Ph°ne <br />Tenant <br />Mail AdAress <br />Contractor Meil Address <br />�,-�f ZO/.30� <br />tate License umher <br />�l�n icl,d��in ��� P <br />Proposed Use of Buildfng <br />Description of Work to Be Done: <br />Ciry <br />Ciry <br />StatelZip <br />State2ip <br />29 9'00 <br />Comr Pdce ot Work <br />� ����Q <br />Contact erso (Plan Review) <br />Phona <br />Phone <br />NOTE: PLANS FOR ELECTR!CAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J08S MUST SHOW THE STATE <br />EDUC�ATIONAL FACILBITI S AND ALL H�EALTH C E FACILITI SI PLANS WSLLE E R VAEWED BY THIS OFFI ETHER <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM �ECEPTACLES ON WALLS <br />OF 15 NCHESSABOVE THE FLOOR. WAC 5120 SEC.3106(�2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RANGE9 OF WAC 5E 20 S C�N 6(b)4CE & F� AND OTTL SS THAN 36 INCHES ABO �uTHE � OOR.�N THE REACH <br />1 HEREBY CERTIFY TNAT 1 HAVE AEAD AND EXAMINED THIS APPIICATION AND KNOW THE SAM11E TO BE TFiUE AND COFRECT. ALl <br />PROVISfONS OF LdWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEFEIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br />STATE OR LOCAL L;1 W ReGULATING CONSTAUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOHIZED BY THE <br />OWNEA OF THIS PROPERTY TO PERFOAM THE WORIC FOR LYHICH APPLICATION IS MADE AND I COMPLY WITH 7HE STATE <br />CONTRACTORS LAW 1B27 RCW AND 296.200 WAC. <br />��� �% <br />ELECAPIREV BR001) <br />FEE <br />`t� � <br />� <br />