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ELECT��iCAL PERMIT AP�,.ICATION <br />CITY OF EVEFtETT PERMiT SERVICES <br />C�o'7 Sr-_ r_v+ <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrical <br />3200 CEDAR BTREET, EVERETT, WA 98201 <br />425-257-8ts10 - FAX 425-257-8857 <br />� Mail Address <br />�- s�. <br />Mail Address <br />� �(. <br />Mail Addrass <br />I�IM �Li�C��fl l �o.� � <br />State License Numuer <br />1)a-1��.J'� <br />Proposed se of Buiiding <br />Description of Wark to Be Done: <br />City <br />City <br />City <br />IS> <br />+e -v� w►� <br />State2ip <br />StatofZip <br />e4— 96zo � <br />Phone <br />Phone <br />Stale2ip Phone <br />�nt�tP�o Work <br />Contacl Person (Plan Review) <br />S w���-cL..co <br />NOTE: PLANS FC�R ELECTRICAL WORY. 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 EVERE:TT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIIiED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL. AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />W ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUfA <br />OF 15 INCHES AOOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AIJD OTHER OPERABI E EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUh'fED 4VITHIN 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 HERE6Y CERTIFY 7'IiAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEANING THIS TYPE OF WORK W/LL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTINu' OF A PERMIT Dr'ES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STA (E OR LOCAL LAW RECaULATING CONSTRUCTfON OR THE PERFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR ;:'MIL'H A('PLICATIDN IS MADE AND 1 COMPLY W'ITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. - <br />�1/�-=:-r_..�P [� �n �I- �� D�f <br />SignaNre Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �,,,�� <br />�, <br />FEE <br />