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ELECT�tICAL PERMIT AP��ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 i'✓ <br />425-257-8810 - FAX 425-257-8857 <br />�,1��1 �11�L�occ�a�� <br />PROJECT ADDRES� � <br />I<F <br />Owner <br />Tenant <br />Electrical Contractor <br />State License Number <br />Proposed Use al Buildmg <br />Description of Work to Be Done: <br />vi }s:�: C <br />Mail Address <br />Mail Address <br />Mail Address <br />City <br />City <br />Gity <br />State2ip <br />State2ip <br />Slate2ip <br />Contract Price of Work <br />Contact Person (Plan Revi�w) <br />J � <br />Phone <br />i�hone <br />Phora <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 />APPROV[D PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 2q6-43-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY l HIS 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 ACCESSI6LE 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 1 HAVE FEAD AND EXAI.IINED THIS APPLICAT/ON AND KNOW THE SAME TO 6E TFUE AND COFRECT. ALL <br />FFOVISIONS OF LAIVS AND OFDINANCES GOVEFNING THIS TVPE OF IVOFK INILL BE COMPLETED WHETHER SPEGFIED HEFEIN OF <br />NUT, THE GFANiING OF A PEFhfIT OOES NOT PRESUM1IE TO GIVE AUTHORITY TO VIOL7TE OR CANC�L THE PFOVISIONS OF ANY OTHER <br />STATE OR LOCAL l.:Ill' FEGULATING CONSTRUCTION OF THE PEFFOFh1ANCE OF CCNSTFUCTfON. THAT 1 Ahl AUTHOFIZED BY 7HE <br />OWNER OF THIS PFOPEFTY TO PEFFOFAI THE LVCFK FCR tl'HICH APPLICATION IS MADE AND 1 COMPLY IYITH 7HE ST4TE <br />CONTFACTORS L7W 78.27 FCN AND 296200 WAC. <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEFTED <br />FEE <br />E �{G�'- I`'�1 <br />