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ELE'�TRICAL PERMIT I��PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 FAX 425-257-8857 <br />(v`7l2 �r����ht <br />PRQJECT AqDRESS,I � <br />oW�e� <br />Tenent <br />Electrical Contractor <br />Stale License Number <br />Proposod Use of Building <br />Descriplion of Work to Be Done: <br />Mall Adtlress <br />Mail AddreSs <br />Meil Addrese <br />� N, s 9f � <br />c��Y <br />City <br />Clty <br />•(1/t (��, /CYL <br />SletelZlp Phone <br />�vG-63z- SG�6 <br />StetelZlp <br />Stete2ip <br />Contracl Price of Work <br />Contact Peraon (Plan Reviaw) <br />Phone <br />Phone <br />NOTE: P"4NS 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 Si'ATE <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 WILL 9E REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DW ELLINGS IS RE�UIRED TO BE IN RACEINAYS, 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 8E MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 S[C. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND QTHER OPERABLE EdUIPMENT 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 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY (;ERTIFY rHAT I HAVE Rc'AD AND EXAM/NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LA WS 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 AU7HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOFIZEO BY THE <br />OWNER OF THIS PqOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TF1E STATE <br />CONTRACTOFS LAW 18.27 RCW AND 296.200 WAC. <br />�i <br />����u�"� l�-9-�'3 <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Dete <br />e o 3ia- oa1 <br />FEE <br />