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�' <br /> G <br /> ELECT�ICAL PERMIT APF�ICATION <br /> C17Y OF EVCRETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-SS1U - FAX 425-257-8857 <br /> ��% � 7 L�Z��T�����c� Gv'Ti <br /> PROJECT ADDRESS <br /> C��LGEK 5l t�L' <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Address City State2ip Phons <br /> L•v i,��zG•�Y ,r�,r.c-L��c Zz s-vv s i3�,,l�,- �d ttirT v��z,�v�✓ r,�,� 9��y 36o ivsv��9 <br /> Electrical Contraclor Mail Address Ciry State2ip Phon= <br /> y�VT�rL�i Y�'z2 Z �ia, o00 = <br /> Slate License Number Conlract Price of VJork <br /> a/=�r GV <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �,�-�W �JLd P�i�S SiD.�R't— Urr�GG' <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTOtJ. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETf PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FAC:�ITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED 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 FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL aECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLC ROUTES OF TRAVEL SHALL BE MOUNTED WiTHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AfJD NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 NEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED 7HIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PROVIS/ONS OF LAWS ANO ORDINANCES GOL'c'RNING THIS TYPE OF WORK WILL BE COMPLETcD WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHOAITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY OTIiER <br /> STATE OR LOCAL LAW RE6ULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEA OF THIS PROPERTY TO PERFOAM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY W'ITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> G i� o �� FEE <br /> Signature Date . <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �(y�Q(-(`j�, <br />