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ELEG� r�ICAL PERMIT APrLICATION <br />CITY OF EVERET� PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8657 <br />,r�' � `�//: �' 7�,�1 �i- C,/ % o �" % <br />PROJECT ADDRESS <br />r <br />Ov�ner <br />Tenant <br />Mail Addmss <br />Mail Adtliess <br />Cily <br />Cify <br />S�ate/ZIp <br />Sta�e2ip <br />Phane <br />Phone <br />/�O rT�.'r1v �i�/�/ ��/ �iY/{ 1 �L�. <br />Elect�ical Coniracto� v Mail Address City State2ip Phone <br />State License Number <br />Propased Use of Building <br />Description of Work to Be Dane: (�,/i r< r�:- ..✓ r/� r» .r- <br />Contract Price af Work <br />Contacl Pcrson (Plan Revie�v) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS M'JS�i BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WlLL BE ISSUED. �VAC 296•46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY T41S OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED 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 A60VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERA6LE EQUIPMENT WITHIN <br />FCCESSIBLE 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 THAT I HAVE REAO AND EXAM11INED THIS APPLICATION AN� KNOW THE SAME TO BE TFUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH(S TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEFEIN OR <br />rVOT, THE GRANTING OF A PEFMIT DOES NOT PFESUA1E TO GIVE AUTHORITY TO VIOLi7TE OR CANCEL THE PROVISIONS OF ANY OrHER <br />SrATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORWANCE OF CONSTRUCTION. THAT 1 Ahf AUTHORIZED B' THE <br />OWNER OF THIS PROPERTY TO PEFFORM THE WOftK FOR WHICH APPLICATION IS MADE AND 1 GOh4PLY WITH THE 5'ATE <br />CONTRACTORS LAW 19.27 RCW AND 296.200 WAC. <br />: � �/c:,' <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Date <br />� tfc��;- cl <br />FEE <br />L/ <br />