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ELECII�ICAL PERMIT AP��ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />/ `JZ�— �,`���a4.d ��; ��.o�T�U�� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Elecirical <br />State License Number <br />ii o �. <br />Proposed Use ot Building <br />Description of Work lo Be Done: <br />Mail Address <br />Mail Address <br />Mail Address <br />1 <br />City <br />City <br />City <br />State2ip <br />State2ip <br />StatelLip <br />� <br />Contract Price of Work <br />�iZS ' <br />��-3 • NQ 53 <br />Phona <br />Phuna <br />Phone <br />T•eiNrf' o� /l�or.� �,/(,�s' <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK 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 EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED 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 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 EQU!PMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F APJD NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEFEBY CERTIFI' rHaT 1 HAVE READ AND EXAM!NED THIS APPLICATION AND KNOW THE ShME TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THlS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GFANTWG OFA PERMIT DOES NOT PRESU6IE TO GIVE AUTHORITY TO V10L:7TF OACANCEI THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL L,IW REGULATING CONSTRUCTION OR THE PEnFCAMANCE OF CONS7RUCTION. THAT I AM AUTHORIZED 6Y THE <br />OWNEH OF THIS PRCPERTY TO PEAF� 4M THE LVOAK FOR V✓H/CH APPLICATION /S MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 19.27 RCW AND 2962UJ WAC. <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED E O'{ 0 3- D�f So <br />FEE <br />� <br />