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ELECT�ICAL PERMIT AP ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> — � <br /> , � 1 %� � /- ,< <br /> PROJECTADDRESS <br /> ;� <br /> �/1 /i��-'C: ;�__ <br /> i <br /> Owner Mail Address City Sta,e2ip Phone <br /> Tenanl _. Mail Address City State2ip Phone <br /> � 'c '-�l '� <br /> Elecirical CoNracto� ldail Address City State2ip Phone <br /> Slale License Number Conlract Price ol Work <br /> Proposed Use o� 9wlding Contact Person (Pl�n aevie�v) <br /> � i <br /> Description of Work lo Be Done: L �- � ��� _ �-L '% � `— - � `� �� � �� ' ' <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL. FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHI�GTON. 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 r'LANS Vt�ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•D�NELLINGS I� REQUIRED TO BE IN RACEWAYS, hiC OR AC CABLE. <br /> HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COh1�.1UNICATI0N5 SYSTEM RFCE�TACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR A�ONG ACCESSIBLE ROUTES GF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br /> [NVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT �NITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SH.4LL !3E MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 WCHES ABOVE THE FLOOR. <br /> 1 .'iEREBY CEFTIFY THAT 1 HAVE READ AND r.t'AM1fWED TNIS APPLICATICN AND KNOW THE SAM1fE TO 6E TFUE AND COFFECT. ALL <br /> PFOVISIONS OF LAIh'S AND ORDINANCES GOVEFNING THIS TYPE OF WOFK L19LL BE COM17PLE7ED WHETHEF SPECIFIED HEFEIN OR <br /> NOL THE GRANTING OF A PEAM1IIT DOES NOT PFESUM1IE TO GIVE AUTHOFITY TO V10L:7TE OR CANCEL THE PFOVISICNS OF ANY OTHEF <br /> ST,4TE OR LOCAL LAW FFGULiTING Cu^NS7RUC710N OF THE PERFORMANCE OF CONSTFiUCTICN. THAT'1 AM11 AUTHOFIZED BY THE <br /> CtVNEF OF THIS PFOPEFTI' TO PERFOFhf 'fNE WOFK FOF WHICH APPLICATION IS M11ADE AND 1 COMPLY WITH iHE S'fAiE <br /> CCNTRACTOFS I..1W iB.27 FCW AND 29fl200 IVAC. <br /> FEE <br /> Slgna W ro Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED ��`�C1D "�Gz' <br />