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ELE� iRICAL PERMIT A� -PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-88'0 - FAX 425-257-8857 <br />l0 C l� a i s� ���' uJ <br />PROJECT ADDRESS <br />�,t1,pr-Cj.t-(.Q 5C'�.�t�t }�o�.C2.�o-�'Yt.�✓%� <br />Owner <br />Tenant <br />Electrical <br />Y�l �� u�'�U C a- 4 �7/B/•� <br />State License Number <br />Pwposed Use of Building <br />Description of Work to Be Done: <br />Mail Address <br />Mail Address <br />Mail Address <br />City <br />City <br />City <br />State2ip <br />StatelLip <br />Slate2ip <br />Cantract Price of Work <br />Contact Person (Plan Reviow) <br />Phone <br />Phone <br />Phone <br />�'OTE: 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 BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICP.L AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG �CCESSIBLE 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 EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCES5IBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />FiANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT �ESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPL/CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AN� ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHEA SPEClFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISlONS OFANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION !S MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 78.27 ACW AND 296.200 WAC. <br />FEE <br />Signawre <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED E O3!/—G�JZ <br />