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ELE i'RICAL PERMIT A�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �G `�� G��ui�v �ivE �i5�5dr • 4G96 <br /> PROJECT A DRESS <br /> � ,�� �'��N�Y io�q ���v �z�v� Fv�r�.c� <br /> Owner Mail Address Ciry State/Zip Phone <br /> ���i✓�(:�/� <br /> Tenant Mell Address City StetelZip Phone <br /> QGv�(.l�1� <br /> Electrical Conl�actor Mail Address City StatelLip Phone <br /> State License Number Contract Price ot Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of W ork to Be Done: G�Gi/�J" �9 � �(i1�G�7`5 � �j(! <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JUBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE C�l'r �F EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL 'iEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 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 E�UIPMENT 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 & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND F.XAMINED THIS APPLICATION AND KNOW THE SAME TO BE 7RUE AND CORFECT. ALL <br /> PAOVISIONS OF LAWS AND ORnINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETEt7 WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GFANT/NG OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHCRITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THf PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEfa OF TH1S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTAACTORS LAW 7827 RCW AND 296.200 WAC. <br /> �,�,--- � <br /> FEE <br /> Signature Date _ <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �03GZ -I I � <br />