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ELE� fRICAL PERI�IT ArPLICA'TION <br />CITY OF �VERETT PEF3MIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 4?5-257-8857 <br />PRO �� �DRESS � � /e �� - <br />Owner <br />� `�`� <br />Contractor <br />�_K,, �r `7�7 f1 <br />Mail Address <br />MailAddress <br />_ �'.S S _� <br />�// Mail Adtlress <br />�C o�J/�r �� �iC / i 6 1 i'� <br />State Licunse Numbor <br />Proposed Use of Building <br />Description ol Work to Be Done: <br />t:iry <br />Cty <br />Cily <br />State2ip <br />State2lp <br />� <br />Ste�elZip <br />�,�5 7�3o3og <br />Phtne <br />Phoaa <br />:�oG 3La' 0430 <br />PMne <br />� �O6 `� <br />Contruct Pnce of Woik — <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EGUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE ST�4TE <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 BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICP.TIOMS SYSTEM RECEPTACLES ON bVALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCE:iSIBLE ROUTES UF TRAVEL SHALL BE MOUNTE� A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SE:C. 3106(c)2. <br />ENVIRONMENTAL AND OfHER CONTROL REC;EPTACLES AND OTHER OPERABLE E�UIFMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCLSSIBLE RQUTES OF TRAVEL SHALI BE MOUNTED W ITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY TNAT I HAVE READ AND EXA <br />PROVISIONS OF LAWS ANC ORDlNANCES GOVEf <br />fJOT, 7HE GqANTLVG O� A PERMIT DOES NOT PRE <br />STATE OR LOCAL LAIM1' REGULATING CONSTFUC' <br />OWNER OF THIS PHOPERTY TO PERFORM Th <br />CONTFACTORS LAW 78.27 RCW AND 296.�00 WAC. <br />Signature <br />DEBIT & CREDIT CARQS ARE NOT ACCEPTED <br />VED THIS APPUCAT/ON <br />VG rHIS 1'1'PE OF WOF <br />ME TO GIVE AUTHORITI <br />N OR THE PERFORM1IAN <br />WORK FOR WHiCH AF <br />THE <br />MADE <br />TO BE TRUE AND C:)RRECT. qLL <br />WHETHER SPEC/FIED HEREIN OR <br />L THE PROVISIONS CF ANY OTHER <br />THAT I AM AUTHORIZED BY TNE <br />ND I COMPLY lh'ITH THE STATE <br />',��-.� 2 FEE �Tl <br />'=�--f1-�•� ��� _--- <br />Data <br />£�3 a�p,y <br />