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ELMTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 1! - al 0 3 <br />425-257-8810 - FAX 425-257-8857 G 031/-lO(0 <br />q 9 q cc/c� Svc rtJr'.,CFrT /v� <br />PROJECT ADDRESS <br />j)/,'CNC11?& 13c11G�a4,S y�tL/5 JGy�hti !h/r CIC�Oi�r In A 7U�s'f7ZGr%`� <br />Owrer <br />Mail Address <br />City <br />Tenant Mail Address City <br />P1(0 /}t,&jcm� Lcrc'- cote 90oV /�";, 13z <br />Electrical Contractor Mail Address city <br />P(D A L Et, OF <br />Stale License Number <br />Proposed Use of Building <br />Description of Work to Be Done: /U&zu I-10oS4 t'u,I <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />ILK�LGy�F %dClJyyiZSSzS-077; <br />State0p Phone <br />Contract Price of Work <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. APPLICANrF' WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT W: BE ISSUED. WAC 296-46.140. .ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES HLANS WILL 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 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 EQUIPMENT 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 & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />n.4 FEE <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED l� � Q� <br />j//- 97- <br />