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ELECI.�ICAL PERMIT AP�-LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />1 <br />L I Z�I I�,-,I„� ��.,t <br />PROJECT ADDpESS _ <br />Owner <br />Tenant <br />Mail Atltlress <br />Mail Address <br />Electrical CoNraclor Mail Address <br />State License Number <br />Proposed Use of Building <br />City <br />City <br />ciry <br />it�Z�) <br />�1� ���Izo3 Li�Y-S'(��3 <br />Steta/Zip P�one <br />StetelLlp Phone <br />Stete2ip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Descriplion of Work to Be Done: �� Uti � 4 V �� M�� � r' h c�f f �^ � G. c �< U! C�i.� v� �t � <br />NOTE: PLANS FOR ELECTRICAL WUR{: AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. AFPLICANTS WITH SUCH JOBS MUST SHOW YHE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACIIITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN 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 FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRG.'ltYcNTAL AND OiHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPi+CES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 310E(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CEFiIFY THAT 1 HAVE READ AND <br />PflOVISlONS OF LA WS AND ORDINANCES G( <br />NOT, THE GRANTING OF A PEflMIT DOES NOT <br />STATE OF LOCAL LAW REGULATING CONSL <br />RCW AND 296.200 <br />VED THIS APPLICATION 4ND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />VG THIS NPE OF WORK INILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />'ME TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />N OR THE PERFORMANCE OF CONSTRUCTICN. THAT 1 AM AUTHOFfZED BY THE <br />WORK FOR WHICH APPLICATION fS MADE AND 1 COMPLY WITH THE STATE <br />Z-21�-v3 <br />� Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED E D3 ('�' � O� <br />FEE <br />