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ELECT� .ICAL PERMIT AP� �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�C �/ w��Nu1— si <br />PROJECT ADDRESS <br />sHARQ� l��Ti�1o� z�z/ l,uA��VuI' f_v wA 98•zc�/ <br />Owner <br />Tenant <br />�"v� <br />Electrical Contracror <br />Mail Atltlress <br />Meil Address <br />MailAtldress <br />MC(�If�EC003NT <br />Slate License Number <br />Proposed Use ol Building <br />Description ot Work to Be Done: lW 1 K-E RDDlT I <br />City <br />City <br />ciry <br />3- 3�1 �In.1 C� 1'�-Lie �Z'.g <br />Stete2ip <br />StatelZip <br />Phone <br />Phone <br />Sleta(Zip Phone <br />Contract Price ot Work <br />Contact Person (Plan Review) <br />S�DROOM- <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 />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 ItJ 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 FLUOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE 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 THA7 I HAVE AEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PFOVISIONS OF LA WS AND ORDlNANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETNER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMI i DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY 07HER <br />STATE OA LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEA OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTfiACTORS LAW 18.27 FCIN AND 296.200 WAC. � <br />J�' Y' p FEE S s o0 <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �=G�{�S-0/3 <br />i�l�( 1 IJ S rPG"'� I/(�/ <br />