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EL <br />fRICAL PERMIT ANPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR °,TREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�'3 / � � �� r �.., � i � _�. 1D � <br />PROJECT ADDR�SS . <br />Owner <br />Tonant <br />Mail Address <br />Mnil Address <br />Electrical Contractor Meil Address <br />����- ����`'1��. <br />State License Number <br />�''� �'� , W <br />City. <br />Ciry <br />�}- `���G <br />StatelLip Pho�e <br />Stete2lp Phone <br />StatelZip Phone <br />) �-- <br />Contrect Price of Work <br />Proposed Use ol Building Contact Parson (Plan Review) <br />NOTE: F'LANS 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 />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS QFFICE. <br />NOTE: WIR�NG IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICRL AND COMMUNICATIUNS SYSTEM RECEPTACLE� ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONC�; ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTEU A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG A(:CESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E R F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HcREBY CER7iFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW TF'E SAME TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER S?ECIFIED HEFEIN OR <br />NOT, THE GRANTING OF A PEHMIT DOES NOT PRESUMF TO GIVE AUTHORIlY TO VIOLATE OR CANCEL THE PqOVI510NS OF ANY OTHER <br />STATE OR LOCAL L4W REGULATING CONSTRUCTION OR THE PERFOAMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTI' TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THF. STATE <br />CONTRACTORS LAW iB27 RCW AND 296200 WAC. <br />�� <br />�/1,�,;s %� f ��� �i <br />� Signature <br />DEBIT & CREOIT CARDS ARE NOT ACCEPTED <br />.� � 5'= c;� <br />5 _ <br />Oate <br />ro3D3-�Ifo <br />FEE <br />