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Ef�ECTRICAL PERMIT i4PP�ICATION <br />CITY QF �VERETT PERMIT SERVICES <br />3200 CL=DAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />1J�/X� .SC CUPrP71�/!�%,//t,.�a�. S ,'f� /�fO.Jr—C <br />PROJECT ADDRESS <br />Owner <br />Mail Addrnss <br />City <br />�%e'/'a� !�/�i i! e So.yr <br />Tenant <br />Mail Address <br />tiectncai convactor Mail Addmss <br />�'�Ia2T'NS"[=/3� a8 <br />Slaie Licenso Number <br />Proposed Use of Building <br />Description af Work to Be Done: <br />Cily <br />f <br />SlatelZip Phone <br />S;ato/Zip Phone <br />Slate2ip Phone <br />s�r _'- <br />L'� <br />Conlract rice of Wodc � <br />C .t�� `iarC <br />son (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES U7'ILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J09S MUST SHOW THE STATF <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE SSSUED. WAC 296-46-140. ALL OTHER <br />EDUCATiONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANfS WILL BE REVIEWED BY THIS OFFICF:. <br />NOTE: WIRING IN NON-D�NELLINGS IS REQUIRED TO BE IN RAC�'NAYS, MC C�R 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 OTHFR OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSI6LE ROUTES OF TRAVEL SHAtiL 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 1 h1AVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYl�E OF WORK WILL BE COMPLF.TED WHETHER SPECIFIED HEREIN �JR NOT, <br />TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANC[L THE PROV1510NS OF ANY OT-!cR STATE <br />OR LOCNi LA W REGULA TING CONSTRUCTION OR THE PEHFORMANCE OF CONSTRUCTION. 7HAT 1 AM AUTHORI2ED BY THE OWNER OF <br />7HI5 PROPERTY TO PERFORM THF WORK FOR WHICH APPLI CATIC:V IS MADE AND I COMPLY W17H THE STATE CONTRACTORS LAW f 827 <br />RCW AND 296.200 WAC. <br />� <br />812(q1) <br />-3! 03 <br />Date <br />F_ 03o z_o � � <br />FEE � <br />