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ELEC1�r�IGAL P'ERMIT AP1- �(CATION I, <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ' <br /> 425-257-8810 - FAX 425-257-8857 <br /> �-1 �� �j�l-�'` S� , <br /> PROJECT A�DRESS � ^ <br /> C'�, c.�� �� ne�.J� �11� �`�`�"''� �1 Z�r�IL� <br /> Owner Mail Address Ciry StateQip Phone <br /> Tenant Mail Address Ciry State2ipuJ� Phone <br /> ��,�`��rr�r�� ��t(�] �-c-�4�.�,.�.u�`�SI Z ����1' <br /> Electrical Contrector Mail Adc�ress City—r State2ip LI ZS Phone <br /> �a-I�LS i�_ � cb � � �Z � yw� �s3 -�u3� <br /> State License Number —� Contract Price of Work <br /> �1 G�� �k- <br /> Proposed Use of Building Contact Person (Plan Reviewj <br /> I '--t Zs SC�-ZS� O <br /> Description ot Work to Be Done: ,'�J( �- C-� �� '��-- � ),n� <br /> �( � �-,/t,�-✓,�5 - �— <br /> NQTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS N1UST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETi PERMIT WILL BE :SSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACIL!TIES AND ALL HEALTH CARE FACILITIES PLANS VVILL BE REVIEWED BY THIS OFFICE. <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 /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES A80VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL ANU OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SI-IALL BE MOUNTED WITHIN THE REACFi <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THA7'I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTH0,41TY TO VIOLATE OR CANCEL rHE PROVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW REGUUITING CONSTRUCTION CF THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPER"iY TO PERFORM THE WORK FOR WHICH APPLICAT/ON /S MADE AND I COMPLY WITH THE STATE <br /> CONTRACTO LAW 18.27 RCW AND?96200 WAC. <br /> � L FEE <br /> Signature ate <br /> ; <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �/��� - (7,'<� <br />