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ELE�,TRlCAL PERMIT �„�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />S�lat Y��>4v� C,1 �o� fa <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />A) L ! <br />LIlfa <br />Eleclrical Contracto <br />Stale License Number <br />Proposed Use of 8uilding <br />Mail Adtlress <br />Mail Address <br />Mail Address <br />City <br />Cily <br />Ciry <br />Description of Work to Be Done: �,,v ( l^� /f�e W l�LOyJ? Y <br />State2ip <br />State2ip <br />l� <br />� � <br />State2ip <br />Coniract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Fhane <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZINu 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. �NAC 296-46-140. ALL OTHER <br />EDUCATIOIJAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RL=CEPTACL[S ON �VALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL E3E A40UNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 5 i-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 WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAr 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND GOARECT ALL <br />PAOVISIONS OF LA WS AND OROINANCES GOVERNING THIS TYPE GF WORK WILL BE COMPLETED WHETHER SPECIFIED HEFEW OR <br />NOT, THE GRANTING OF A PEFMIT DOEa NOT PRESUAIE TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY OTHEF <br />STATE OR LOCAL LAW REGU4ITING CONSTRUCTION OR THE PEFFORMANCE OF GONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOHM THE VdORK FOR WNICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCV/ AND 296.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />FEE <br />L'U31�-lu � <br />