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ELECT��ICAL PERIVIIT APEt�ICATION <br />CITY OF E\/ERETT PERMIT SERVl�ES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�;� 1 � �� C����- � :-f � � �;,� � <br />PROJECT ADDRE$S � <br />Owner <br />Tenant <br />Contracior <br />Mail Address <br />Mail Address <br />��E�%��� %itJ� <br />Mail Address <br />� � ,Fi �4c�iZ� <br />State License Number <br />Ciry' <br />City <br />Ciry <br />State2ip <br />State�Lip <br />Phone <br />Phone <br />/A �Js�'Ozb Zo6-3G�-7c� <br />State/Zip Phone <br />�b31 8 00 `�' <br />Contra t Price of Work <br />�I �� N " S 5 � ( /�- <br />Proposed Use of Building Contact Person (Plan P.eview) <br />Description of Work to Be Done: IC �/�� i�1�t ` � ICi S [��uitif+-✓L C'/�. i T��� � v�-K U t��-v <br />- .�l Fti„�,-„� ; dn_ �,� .cznJ, <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 OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED 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 RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF V�lAC 51•20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREB}' CERTIFY THAT 1 HAVE FEAD AND EXAM11IA'ED 'fHIS APPUCATION dN0 KNOIN THE SAME TO BE TRUE AND COFFECT. ALL <br />PFOVISlONS OF L7 WS AND OFDINANCES GOVEFNIh'G THIS TYPE CF WORK WILL BF COAIPLETED WHETNER SPECIFIED HEREIN CF <br />NOT, THE GFANTING OF A PEFh11T DOES NOT PFESUM1IE TO GIVE AUTHORITY TO VIOL77E OR CANCEL THE PFOVISIONS OF ANY OTHER <br />STATE OR LOCAL W W FEGULATING CONSTFUCTION OR THE PEAFOFMANCE OF CONSTAUCTICN. THAT I Ah1 AUTHORIZED BY THE <br />OWNER OF THIS PFOPERTY TO PERFOAM 7HE WOAK FOR WHICH APPLICATION IS MADE AND I COh1PLY W(TH TNE STATE <br />CON7FACTORS L7W 78.27 FCLYAND 296.200 WAC. <br />Signature Uate <br />FEE <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED i U �i G�j G°( 3 <br />