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L <br />ELE <br />r.�ICAL PER�VIIT AP� ,LlCATION <br />CITY OF EVEREiT PERMIT SERViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�i��� % � �'� �� � <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />ie.c'fd'i c. /�3C7�/ 5 <br />Electrical�Contractor Maii Address <br />�DF � GC �.� �9Kt' _ <br />State License Number <br />Prcposed Use of 6uilaing �� � <br />Descriplion of Work to Be Done: <br />City <br />Ciry <br />Ciry <br />� <br />Stale/Zip <br />State2ip <br />State/Zip <br />l yC01` <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />Phone <br />Phone <br />�S� <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDIICATIONAL, FACILITIES UTILIZING Sl'ATE FUNDS MUST BE <br />APPRUVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BErORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />FDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING id NON-DWCLLINGS 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 THAVEL SHALI BE MOUNTED A MINIMUM <br />OF 15 INCHES A80VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />Ei�VIRONMENTAL AND OTHER CONTROL R[CEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RANGESI OF WAC SE 20 S C�31� 6(b 4CE & FI ANDR OUT L S� THAN 36LINCHE3 ABOV�E THE �LOOR IN THE REACN <br />1 HEAE6Y CERTIFY ThIAT 1 f�AVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE 1'RUE AND CURRECT. ALi <br />PFOVI510�lS CF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COM?LETED WHETHER SPECIFIED HEREIN OR <br />fJOT, THE GRANTING OF A PERMIT DOES NOT PFESUME r0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OFANY OTHER <br />OWN A�OF� HIS PROPERTY TO PERFORfv1 u7hE�WORKr�OAEWHICH APPLICATION SS�MADE ANDHI COMPLY WITH' iNEeSTATE <br />CONTRAC70RS LAW 18.27 RCW AND 296.200 WAC. <br />Signature <br />DEBIT E� CREDIT CARDS AAE NO i AC�EP7ED <br />� CI--�L� FEE <br />Date <br />�� � C�.�— � � � <br />