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ELE�'TRICAL PERMIT A. `PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9A201 <br />425-257-8810 - FAX 425-257-8857 <br />�0/� ��l^q!n �c ,Q ✓� <br />PROJECT ADDRL � <br />%i�<h 9� Dr aH-� ru in e s �✓` N.� %7c <br />oW�e� <br />Tenant <br />f/a .F s <br />Electrical Contractor <br />Mail Address <br />� Mail Adtlress <br />-�r✓,�� <br />State License Number <br />C .,� � <br />�-/ /�J `i -F / 9' N7 / /� <br />Propos�Use ol Building / <br />Description of Wark to 6e Done: <br />sy <br />Mail Addross <br />City <br />City <br />City <br />—� � � �% �YI �% c S�C !^I/i <br />ui Cv 1^ �'u t J`5 ,�.,i <br />Wq. <br />Stata2ip <br />State2ip <br />State/Zip <br />Contract Pnce ot Work <br />Contact Person (Plan Review) <br />u/ � O O <br />Phona <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILI2ING STA7E FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPR��VED 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 BY?r15 OFFICE <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIfiED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RFCEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. Wr1C 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCES�IBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)3 E& F AND NOT LESS THAN 36 INCHES ABOVE TH[ FLOOR. <br />I HEFEBY CER7/FY THAT I HAVE R[AD AND EXA611NED THIS APPLICA710N AND KNOW THE SAh1E TO BE TRUE AND CORRECL ALL <br />PFOVISIONS OF Lq WS AND OROINANCES GOVERNING THIS iYPE OF WORK WILL BE COh1PLETED WHETHER SPECIFIED HeREIN OR <br />VOT. THE GFANTING OF A FERMIT DOES NOT PRESUh�E TO GIVE AUTHORITY TO VIOLATE OACANCEL THE PROV/SIONS OFANV OTF,ER <br />STATE OR LOCAL LAW REGUL7TING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCiION. THAT / AM AUINORI2ED BY THE <br />OINNEA OF THIS PROPEfiTY TO PEFFOAM THE WOFK FOR WHICH APpLICATION IS M14AOE ANO 1 COA4PLY WITH THE STATE <br />CONTRACTOFS LAW 18.27 RCW AND 296200 WAC. <br />/� <br />��!/ e,,.,.'.,,,� G �_ FEE <br />� SignaWre Dato <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED Ed3p5-�� � <br />