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ELEC i RICAL PERMIT AE-PLICATION <br />CITYOF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />,11 ,e) //1' <br />'2=Q` z9L.-I1- <br />S, E <br />PROJECT ADDRESS <br />//O/cj <br />7 -4 <br />Av& S E <br />920-01 <br />Owner <br />Mail Address <br />city <br />State2ip <br />Ph is <br />Tenant 9n&� 3MS7Ad�sc/� S6� city stzte2ip ', 337Phone <br />300�o <br />rl-PNFl-1-01wrn A 6 fir&/C <br />Electrical Contractor Mail Address City State/Zip Phone <br />01:1n/7s-- <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person <br />(Plan Review) <br />Description of Work to Be Done: ti(P <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTIL!ZlNG 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 ISSUFr;, WAG 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY I'H!S 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. WAG 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAG 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT. HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRU- AND CORRECT. ALL <br />PROVISIONS OF :AWS Af,0 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V10�4TE OR CANCEL THE PROVISIONS OF ANY 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 IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br />FEE <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED _FC! 3 / 0 / /V <br />