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� �LECT � SICAL P'�RMIT AP�- LICAT!ON � <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STR�ET, EVERETT, WA 982C1 <br /> 425-257-8810 - FAX 425-257-8857 I <br /> _J 3/l � /i'�'� /`t�' L�� - <br /> PRO.IECT ADL'RESS <br /> Owner Mail Address City State/Zip Phone <br /> Tenan� Mail Address City 5late2ip Phone <br /> Eleclfical ContraClor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Con�ac� Person (Plan Hevi����) <br /> / / ` <br /> ( � c ��I <br /> Descripti�n af Work to Be Done: 1.��U. Gl��(���t��� � <br /> NOTE: PLANS FOR ELECTRICAL WORI< AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WP.SHINGTON. 4PPLICANTS WITH SUCH JCBS MUST SHOV'J THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE I5SUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS VVILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: bViRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELCCTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> W ITHIN ACCESSIBLE SPACES OR ALONG 4CCESSIBLE ROUTES OF -i RAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SGC. 3106(c)2. <br /> ENVIRONMcNTAL AND OTHER CONTROL RECEPTACLES AND O7i�ER OPERABLE EQUIPMCNT WITHIN <br />'I ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEI_ SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NQT LESS THAN 36 INCHES ABO�'E THE FLOOR. <br /> 1 HEFEBY CEr771FY THAT 1 HAVE FEAD AND EXAAfINED THIS APPLICATION AND KNOW THE SAME TO BE rFUE AND COAFC-CT. ALL I <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNIf�.'G THIS TYPE OF WOR.K WILL BE COh1PLETED WHETHF_n SPECIFIED HEREIN CR <br /> NOT, THE GRANTING OF A PERMIT COES NOT PRESUG4E 70 GNE AUTHOFIrY TO VIOL4TE OR G4NCEL THE PRGVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTAUCTION OF 7HE PERFOFM1fANCE OF CONSTRUCTION. 7HAT 1 Ah1 AUTHOqIZED BY THE <br /> I OWNcA OF THIS PROPERTY TO PERFORM THE LVOFK FOR WHICH APPLICATION IS MADE AND 1 C061PLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 LVAC. <br /> � ��� ( � (-, J 0..5 FEE - -- oL� <br /> � <br /> ,� ' �J <br /> �,> �' � /,,.„�_ � �ti--- <br /> Signature Data <br /> DEBIT& CHEDIT CARDS ARE NOT ACCEP7ED �a3p�-c,d <br /> � <br />