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ELECl'r�ICAL PERMIT APF-LICATION <br />CITY OF EVFRETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425457-8810 - FAX 425-257-8857 <br />�s�� 3 C:� (l�,,l <br />PROJECT ADDRESS <br />CI���LI%L L[� IUJ�/ LOGr��? <br />Owner I,�ail Address <br />� <br />(�JGL� �� �V <br />Tenant Idail Adtlress <br />Elecincal Conhactor <br />State License Number <br />Proposed Use o( Building <br />Descnption a( Work to Be Dene: <br />tdail Address <br />City <br />City <br />�a� r <br />����f� � �,�'li' �l ���-'3 /35�--�f <br />Stato2ip <br />State2ip <br />Staie2ip <br />Contracl Price ol Work <br />Conlact Person (Plan Review) <br />Phone <br />Phone <br />Phone <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 />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHEFc <br />EDUCATIONAL FACILITIES AND ALL HFALTH CARE FACILITIES PLANS W ILL BE RrVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIR[D TO BE IN RACEWAYS, MC OR �4C CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SI-IALL BE MOUNTED A MINIMUM <br />OF 15 INCHES A80VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTFiOL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE Iv10UNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEFEBY CERTIFY THAT 1 HAVE READ AND EXAMINED 7HIS APPLICATION AND KNOW THE SAh1E TO BE TRUE AND COFRECT. ALL <br />PFOVISIONS OF LAWS AND OROINANCES GOVEHNING 7HIS TYPE OF WOn^K V5'ILL 6E COMPLETrD WHETHER SPEpFIED HEFEIN OR <br />NOT, iHE GRANTING OF A PEFMIT DOfS fJOT PRESUME TO GNE AUiHOFITY r0 VIOLATE OFi CANCEL 7HE PROVISICNS OF ANY' OTHER <br />STATE OR LOCAL LAW pEGULATING CONSTfiUC7lON OR TNE PERfORMANCE OF CONSTRUC710N. THAT I AM AUTHCRlZE� BY THE <br />JWNER OF TH15 PROPEFTY TO PERFOFh.' THE lb'ORK FON WHICH APPUCATION IS MADE AND I COMPLY l4'17H THE STATE <br />CClJTRACTORS LAW f 8.27 FiCW AND 236200 V/AC. <br />` f'(%�, <br />Signature <br />��,4 <br />;. _ I - �- 5 -v y <br />Date <br />FEE <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �(') LI CI ��� <br />