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ELECTkICAL PERMIT APF�ICATION <br />CITY OF EVERETT PERMIT SERVICE� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� Z �-� V Y�I a � YD �� G�_ �'l Ue Z V��1 P C�[ <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />City <br />w►� a8zo3 <br />State/Zip Phone <br />State2ip <br />Phone <br />Electrical Contractor Mail Address City Sfate2ip Phone <br />State License Number Contract Price of Work <br />f-}o�� <br />Proposed Use o( Building <br />Description of W ork to Be Done: <br />/} <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 8E <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORF CITY OF �VERETT PERMIT WILL BE ISSUED. WAC 296-46-140. AL_ OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL ElE REVIEWED BY THIS OFFICE. <br />NO'fE: WIRING IN NON-DWELLINGS IS REQUIFiED 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 AAOUNTED 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 />RANG�S OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW T'r1E SAME TO BE TAUE AND CORRECT. ALL <br />PROVISfONS OF LAWS AND ORDINANCES GOVERNING TH/S TYPE OF WORK WILL 6E COMPLETED WHETHER SPECIFIED HEAEIN OR <br />NOT, THE GAANTING OF A PERMIT DOES NOT PFESUME TO GlVE AUTHORITY TO VIOLATE OR CANLEL THE PROVISIONS OF ANY OTHER <br />STATE GF LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. THAT 1 AM AUTHOFIZED BY TNE <br />OWNER OF THIS PROPERTY TO PEAF�FM THE WORK FOR WHICH APPLICATION IS PAADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 78.27 RCW AND 296.2CD WAG � <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />r a �to� -�aq <br />FEE <br />�� <br />