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ELEG �'RICAL PERMIT A� PLICATION <br />CITY OF EVERETT PERMIT SER'�ICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />���[��S ,�r ' ` r^n� c�� C��c���r;L- <br />PROJECT ADDRESS <br />��1� l-� C�E�� � �� C�R tLC��}°!�•� <br />Owner Mail Address City State2ip Phone <br />Tenant <br />% <br />11/(�t-c;�e� �L��f':-� <br />� Eleclrical Contractor <br />i�1 i�u-(-'-e�GrZ9'7r��/'r <br />Slate License Number <br />Proposed Use ot Building <br />Description of Work to Be Done: <br />Mail Address <br />�l�r �- <br />Mail Address <br />City <br />City <br />State2ip <br />Stale/Zip <br />CoNract Price of Work <br />Contact Person (Plan Revia�v) <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTFlICAL WORK AT EDUCATIONAL, FACILITIES UTILI7_ING STATE FUNDS MUST 6E <br />APPROVED BY THE STATE OF WASHINGTON. APPLIC.4NTS 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 />EDUCA.TIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-D1A�ELLINGS IS REQUIRED 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 CF 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 I,NITHIN <br />ACCESSIBLE SPACES OR ALONG .4CCESSIBLE ROUTES OF TRAVEL SHALL B[ MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-2Q SEC. 31�6(b)4 E& F AND �IOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HERE6Y CERTIFI' THAT 1 HAVE f7E.4D ANO E.x'Ah11NED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECL ,4LL <br />PROVISIONS OF LA WS AND ORDINANCES GOVc'RNING THIS TYPE OF bVORK 4VILL BE COMPLETED WHETHER SPEC!FIED HEAEIN OF <br />NOT, THE GRf1 NTING OF A PERMIT DOES NOT PfiESUME TO C;IVE F1 UTHORITY TO VIOLA7E OR CANCEL THE PROVISIONS OF ANY OTHEA <br />STATE OR LOCAL LAW FEGULATING COh'STRUCTION OR TNE PERFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OLYNER OF THIS PROPERTY TO PERFGRM 7NF_ WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY VJlTH THE STATE <br />CON7HACTORS LAW 18.27 RCW AND 296200 WAC. <br />Signaturo <br />DESIT & CREDIT CARpS ARE NOT ACCEPTED <br />� v .� � <br />Date <br />-�. ,,i,j <br />.-. <br />