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Owner <br />Tenant <br />ELEC`� r�ICAL PERMIT AF�LICAT�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETI', WA 98201 <br />425-257-8810 - FAX 425-25i 8857 <br />��S V��l�o-� <br />T ADDRESS � <br />S CD�'��1C1.5 ��/ <br />Mail A�dress <br />Mail Address <br />' � <br />Comracror <br />State License Number <br />Proposed Use ot Building <br />Description ol Work to Be Done: <br />Mail Address <br />��'I.9 <br />�i� ell <br />Jlr�' <br />City <br />City <br />City <br />'� � <br />State2ip <br />Sla�e2ip <br />Phone <br />Phona <br />Sfele/Glp rnune <br />Contract Price ol Work <br />Contact P�rson (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIEu UTILIZING STATE FUNDS MUST BE <br />APPROVED EiY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVE❑ ?LANS BEFORE CITY Or EVERETT PENMIT WILL BE ISSUED. WAC 296•46-140. AL� OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY TI :IS OFFIC�. <br />NUTE: WIRING IN NON-DWELLINGS IS REOUIRED TJ E[ !N R.4CE4VAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESS�BILITY: ELECTP.iGNL ANI� COMMUNICATIONS SY5�=�4 RECEPTACLES ON WALLS <br />W ITHIN ACCESSIBLE SPACES OR ALONG ACCES ;IBLE ROUTES OF TRAVEL SHP,�:. BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 5'i-20 SE';.. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RE(;EPTACLES AND OTHER OPERABLE �7UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCES; IBLE NOUTES OF TRAVEL SHALL BE MOUNTED W17HIN 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 THAi 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORF,ECT. ALL <br />PFOV/SIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETE� WHETHER SPECIFIED HEfl�IN OR <br />NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUrHOFITV TO VIOLA7E OR CANCEL THE PROVISIONS OF ANY OTHEF <br />STATE OF LOCAL L4W AEGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF TNIS PROPERrY TO PERFO4M THE WORK FOR WHICH APPLICATIDN IS MADE AND I COMPLY WI7H THE STATE <br />CONTRACTOFS L AW 1827 RCW AND 296200 WAC. <br />� <br />I 1i �.`��^ � �� � � 7� FEE <br />1.�`m.�, <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED � d-3d$ -�l o <br />