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�LECTRICAL PERMIT APPLICATION <br />CITY JF EVERETT PERMIT SEt, JICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />C�1�i �'7L: L I`� \ 1'� �iC.l�� LL (,t ` �r <br />PROJECT ADDRESS <br />Owner <br />lAail Address <br />City <br />State2ip <br />\L��h�'na'cl «• �1i���i:C�etP��\71c��VJ�,r ���c��411- l���l �t4s�ba <br />Tenant <br />Mail Address <br />Conlractor Mail Address <br />�-. �1 C�1�,', � r L�15c�s�?,1-� <br />State License Number <br />Ciry <br />City <br />State2ip <br />State2ip <br />�'3 ah(> ���al \�b <br />Contract Price of Work <br />COCr�1pc��C�1 C?,c�nn TCIID <br />Proposed Use of Building Contact Person (Plan Reviaw) <br />Phone <br />Phona <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTIIIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHCW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVEREl'f PERMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHEFI <br />EDUCATIOMAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS VJILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />I-iANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A A4INIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51 •20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE �QUIPMENT WITHIN <br />ACCESSIBLE SPACES OFi ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RNNGES OF VJAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY 7H.4T I HAVE READ AND EXAA1INED THIS APFLICATION AND XNOW THE SAME TO BE TRUE AND CORFECL ALL <br />PnOVISIONS OF L4WS AND ORDINANCES GOVEFNING � HIS Tl'FE CF WOAK WILL EE COh4PLETED WHETHER SPEGIFIED HEFEIN OR <br />f:OT, THE GRANTING OF A PEFM1fIr DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL7TE OR CANCEL THE PFOVISIONS OFANY OTHrR <br />SiATE OR LOCAL LAW RFGULATING CONSTRUCTION OR THE FEFrORI✓IANCE OF CONSTAUCTION. THAT I AM AUTHCRIZED BY THE <br />Ol':SVER OF TN/S PROPEATY TO PERFORM THE WOFK FOF. LNHICH .:PPLICATION IS IAADE AND I COfdPLY bYITH THE STATE <br />CGNTRACTOAS LAW iB.27 RCW AND 296.200 WAC. � <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />_ . �— � � <br />'- (� )-� '� % � <br />FEE <br />