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ELEC'i r�ICAL PEP:MIT AF�LICP�'ION <br />CITY OF EVFRETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-E810 - FAX 425-257-8857 <br />S /S LaU r� � ���v� <br />PROJECT ADDRESS <br />� ' '. _ - <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Conlractnr Mail Address <br />Ss-�f-�U�-.�o 9�'�'N <br />State License Number <br />City <br />City <br />City <br />�-� /�� - � • <br />Proposed Use of Building � J <br />., o V �14F�°� <br />Descriplion of Work to 9e Dane: <br />State2ip <br />State2ip <br />Stata2ip <br />Conlract Price ol W ork <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />NOTE: PLANS FnR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY Tf E STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY CF EVERETT PERMIT WILL 8E ISSUED. WAC 296-46-140. ALL OTHEq <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN VON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPP�D ACCESSIBILITY: ELECTRICAL AND COMMUNICATIOIIS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TFi.AVEL 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 OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 9E MOUNTED WITHIN THE RE,1CH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F 4ND NOT LESS THAN 36 INCFIES �BOVE THE FLOOR. <br />I HEREBY CEFTIFY THAT 1 HAVE READ AND EXAMWEO TH!S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WOflK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE (iFANTING OF A PERMIT OOES NOT FRESUME TO GIVE AUTHOflITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br />STATE OR LOCAL LAW FEGULATING CONSTFUCTiON OR THE PERFORM1IANCE OF CONSTRUCTION. THAT ! AM AUTHORIZED BY THE <br />OWNEA OF THIS PFOPEATY TO PERFOFAI THE 'vVORK FOR WHICH APPLICAT/ON 1S MADE AND 1 �OMPLY WITH rHE STATE <br />CONTRACTORS LiW i 827 FCW AND 296200 WAC. � <br />Signature <br />Date <br />�' FEE �� �QQ <br />DEEi1T & CREDIT CARDS ARE NOT ACCEPTED ,€(�' S� —/��j <br />