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�LECl�. �ICAL PERMIT APt �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � <br /> ���� ���� ��e �� � <br /> PROJECT AODRESS <br /> S�/���� �c.JArn P,� <br /> Owner Mail Address City Stale2ip Phone <br /> Tenant Mail Address City State2ip Phone <br /> c�fG�2�i1e�/I�rri�i�i/�/L(,�t2/,L�iC <br /> Elecirical Contractor Mail Address City StatelZip Pi�one <br /> �SL�n r��'r�l�i l?� ��/S'C <br /> State License Num er Contract Price of Work <br /> 7l'��r/IPr/IC� , <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descnption ot Work to Be Done: �p/���Q'D fL��`-�/�J �' �-� �� <br /> NOTE: 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 BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS 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 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 ACCESSIBLE ROUTES GF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I 11EREBY CERTfFY THAT 1 HAVE READ AND EXAM/NED THlS APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREfN OR <br /> NOT, THE GRANT/NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V/OLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOAMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF 7HIS PROPERTY TO PEAFORh1 THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CON7RACTORS LAW 78.27 RCW AND 296.200 WAC. � <br /> , <br /> G��G;F� ��-£ � ��'-O � FEE <br /> ,�Sig awre Date <br /> i <br /> / <br /> DEByT& CREDIT CARDS ARE NOT ACCEPTED �� �� 3 , �� / <br /> �-y <br />