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ELECTidCAL PERMIT AN LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PROJECT ADDRESS <br />Owner Mail Address <br />City <br />State/Zip <br />Phone <br />Tenant Mail Address <br />City <br />State, -Zip <br />Phone <br />Electrical Contractor Mail Address <br />El <br />f �r��rc� 9-rc //fiS Sa Lk� <br />City <br />kirrt�c%, Svw•a� <br />State/Zip <br />i8 �' �t��5�8'y <br />Phone <br />t �J <br />State License Number <br />Contract Price of Work <br />Akr&�w <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />f/c <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 />WAC 296-46-140. ALL <br />APPROVED PLANS BEFORE CITYBE ISSUED. <br />EDUCATIONAL FACILITIES AND ALL. OHFALTH CARE FACILEVERETT ERIITI SI PLANS WILL BE REV LL EW ED BY THIS OFFI OE. <br />THER <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 ABOVE THE Ft 00R. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE RANGES OF WAC 5ES OR 20 SEC.031J 6(b)4 E & FIBLE AND OTTES OF TRAVLESS THAN 36 INCHES ABOVESHALL BE NTED THE IN THE REACH <br />THE FLOOR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LCAL LAW OWNER OFT HIS PROPERTY �TO PERFORM TING CONSTRUTHTE WORK ION OR T FOR WHICH APPLICATION HE PERFORMANCE OF CONSTRUCTION. <br />AND HI COMPLY AT I AM U WITH IZTHEBSTATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />FEE <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />