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ELEC7, �iGAL PERMIT AP� �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320U CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�.�5 � � v� �.� <br />PROJECT ADDRESS � , <br />Owner <br />Tenanl <br />i) C ��¢i�et�5'Gn <br />Eledrical Contractor <br />Mail Address U <br />Mail Address <br />_ 33�a �2 "� <br />Mail Address <br />�C (f��?� i 0�)� B�' _ <br />State License Number <br />C\�i?l'6�U1)1C_' 1 J� / J�f'�r i Y'�i'' �l <br />Proposed Use of Builcling <br />Description of Work to Be Done: W 1 1(� <br />City <br />Ciry <br />State2ip <br />Slate2ip <br />Phone <br />Phone <br />�ola �'I S <br />7 �� �� <br />Ciry i' StatelLip Phone <br />� � QO0 <br />Contract Price of Work ' <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITICS UTILIZING STATE FUNDS M�ST BE <br />APPROVcD BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />A�PROVED PLANS BEFOHE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL GTHER <br />EDUCATIONAL F,aCILITIES AND ALL HEALTH CARE FNCILITIES PL' �!S W ILL 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 AhD COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN i1CCFSSiBLE SPACES OR ALONG ACCESSIBLE CiOUTES OF 1�FIAVEL SHALL BE MOUNI'ED A MINIMUM <br />OF 15 I'�VCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONAIENTAL AND OTHER CONTROL RECEPTACLES AND CTHER OPERABLE EQUIPME�tii WITHIfJ <br />ACCESSII3LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGI=S OF WAC 51-20 SEC. 3106(b)4 E& F APJD NOT LES� Ti�AN 36 INCHES ABOVE THE FLOOR. <br />I h'EFEBY CcRrIFY THAT 1 HAVE REFlD AND EXAMINE� THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PFOVI;iIONS OF LAWS AA'D OflDINANCES GGVERNING THIS TYPE OF WORK WILL 6E COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, �rlE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OF7 LOCAL 1AW REGULA7ING CONSTRUCTION OR THE PEAFJRMANCE OF CONSTRUCT�ON. THAT : AM AUTHORIZED B1' THE <br />ObVNER OF THIS PROPERTY TO PEF7FORM14 THE WORK FOR LM1'HICH APFLICATlON IS MADE AND 1 COMPLY WITH THE STATE <br />CONTF'ACTORS LAW 18.2' .�CW AND 29n.200 W'AC. <br />.. . ) <br />� Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Da�a <br />��% ��V���l.�) <br />FEE <br />