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ELECTI�.�CAL PERMIT A.PF�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8d10 - FAX 425-257-8857 <br />551� S. v'° �� <br />PROJECT ADDRESS , <br />Owner <br />Tenant <br />MailAddress <br />Mail Address <br />Ci�ll� ���' `�'( <br />�iecmcai uomracior Mail Address <br />A�1N� 0$�S <br />State License Number <br />—��`°e� <br />Propos d Use ol vildmg <br />Description of Work to Be Done: <br />C� <br />City <br />City <br />State2ip <br />State2ip <br />Phone <br />Phone <br />��ty State2ip Phone <br />� IZ,�o <br />Contract Pnce Work <br />Contect Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILI2ING 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 BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED 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 EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTF.S OF TRAVEL SHALL BE MOUNTED W ITHiN 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 CERT/FV THAT I HAVE READ AND EXAM/NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVfRNING TH/S TVPE OF WORK W/LL BE COMPLETED WHETHER SPECIFIED HERE/N OR <br />N07, THE GFAN7ING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO L'IOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOC.7L LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPER7Y TO PERFORM THE WORK FOR WNICH APPLICATION IS MADE AND I COMPLY WlTH THE STATE <br />CONTRACTORS LAW 18.27 RCW qND 296.200 WAC. <br />SignaWre <br />�l�•�j FEE �� <br />Dete <br />DEBIT & CREDIT CAflDS ARE NOT ACCEPTED <br />�� �'Q/-%5 <br />