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E�.EC i�RICAL PERMIT ANPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� ,_�Q,`��L��r�J� �5-�- -- <br />PROJECT ADDRESS <br />�'��� . ` v.n 2 �loZ�i- rv�.-ln A'S��S' <br />Uwner <br />1'enant <br />Electrice I Contractor <br />Slate License Number <br />� l-IQ <br />Proposed Use ol Building <br />Description of Work to Be Done: <br />Mail Address <br />Meil Address <br />Mail Addrecs <br />C,ry <br />Ciry <br />City <br />Stste2ip <br />StatelLip <br />State2ip <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />Phone <br />Phone <br />Phone <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 />EDUCATIOiJAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO RE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCES5IBLE 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 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 />1 HEREBY CERTIFY THAT I HAVE READ AND EXAh71NED THIS APPLICATION AA'D HNOW THE SAME TO BE TRUE AND CORFECL ALL <br />PFOVISIONS OF U1V✓S ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL 6E COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERM11IT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPEFTY TO PERFORM ?HE INORK FOR WHICH APPLICATION IS M1fADE AND 1 COMPLY WITH THE S7ATE <br />CONTRACTORS L7W 78.27 RCtY AND 2P6200 WAC. <br />U..; �//7 <br />ci'��. /17tit� V (, <br />Signature <br />Dale <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED � 031�- DO G <br />FEE <br />