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ELEC' r�ICAL PERMIT AF��LICAYION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �0 ...�6- � 5 <br /> 425-257-8810 - FAX 425-257-8857 <br /> c-bs/a-�4� <br /> � ;, •-�. <br /> v'"� �.v �����6�e�t. lt.G�L�i ��e�� � 1��; <br /> PROJECT ADD/RE�SS /� <br /> . rJG�>� (�o!�UrrL? ,l L�u��i <br /> Owner �.-.ail Address Cily State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> �I�-�-vi%ti��/cc�s�G /�/.s�'� !k l�ed���.�-R*-{'J',��n i�v�.�9� �'as��y.�� <br /> Electrical Conlraclor b1a�l Address Ci State2ip Phone <br /> /�i�.T,�t- Oc.�/U/ _ ��.s�. �J <br /> State License Number Contracl Price of Work <br /> �S� 411- <br /> Proposed o(Building Cortar.t Person (Plan Review) <br /> Dsscription of Work to Be Done: -C (^.f'�/`/ / tA/'L� G/L�-G�;�'�✓l(j " �O /"f�l°Ul f Jc1.[�rJ/l� <br /> �/� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDIiCATIONAL, FACiLITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINC;TCN. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BFFORE CITY OF �VERETI PERMIT WILL BE ISSUED. WAC 296-40"-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS C�FICE. <br /> NOTE: �/JIP.ING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSI8ILITY: ELECTRIC4L AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALL5 <br /> WITHIN ACCESSIBLE SPACES OR ALONG A�CESSIBLE 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 P.ECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLCOR. <br /> I HENEBY CERTIFI' �HAT I HAVE READ AND EXAMINE� THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LA WS AND GFDlNANCEu GOVERNING TNIS TYPE OF WORK WILL BE COMF:.ETED WHETHER SPECIFIED HEREIN OR <br /> NO7'. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO G/VE AU7HORITY TO VIOL7TE OR CANCEL THE PROVISIONS OFANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PERFORMANCE OF CONSTfaUC;ION. THAT I AM AUTHORIZED B'r'THE <br /> OW.VcR OF THIS PAOPERTY TO PERFORM THE 4VORK FOR WHICH APPLICATION IS M,iUE AND I COhiPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. � <br /> � O � <br /> �'/L�.ir� ✓.i„� `J��G��--� FEE ��S _- <br /> Signature Date <br /> L�EBI�&CREDIT CARDS ARE NOT ACCEPTED ��� —�� <br />