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EL�C'� RICAL PF:RMIT AF�LICATION <br />GITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-E810 - FAX 425-257-8857 <br />.� �!-f � — <br />� j -� J 5 7 r'� ._ c, i <br />PROJECT ACDRf_SS <br />�4i�L-L.;rtM �. v%7L(F-!, �;/� ����Si L�J;-�'.�i'f GC�� `'(J�/ �iZti��S2-`1c;3,`' <br />Ow:ier <br />Tenant <br />Electrical Coniractor <br />Slate License Number <br />i <br />C��� ZAL-�C - <br />Proposed Use of Building <br />Iviail Address <br />Ivlail Address <br />Mail Address <br />City <br />City <br />City <br />State2ip <br />State2ip <br />State2ip <br />Cor tract Price of W ork <br />Contact Person ("lan Review) <br />Descriplion af Work to Be Done: ( �J, /> , ,-., ( � � ,�i � /..lE c r�' �->ii .��'.-�(�C� _ <br />Phone <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES U"'ILIZING STATE FUNDS MUST BE <br />APPROVED 8Y THE SIATE OF WASHINGTON. APPLICNNTS WITH SUCFi JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETf PERMIT WILL 8E ISSUE�). WAC 296-46-140. ALL OTHER <br />EDUCATIONAL F.4CILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL �3E REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWE�LINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEP7ACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE PAOUNTED 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 E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE FOUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF VJAC 51-20 SEC. 31u6(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEl;EBY CERTIFY THF�T I HAVE READ AND EXAM11INED TH!� ,�PPLICATlON AND KA�OW THE SAME TO BE TRUE !+ND CORREC'. ALL <br />PAOVISIONS OF WWS AND OFOINANCES GOVC-ANING THl.'� NPE OF WORK WILL BE COMPLETED Vl'HETHER SPEClFIED HEFEIN OR <br />N07. THE GF.4NTING OF A PERMIT DOES NOT PRESUh1E TO GNE AUTHORI rY TO VIOG.ATE OR CANCEL THE PROV(SIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGUGITING CONSTFUCTION OR THE PE.4FORhfANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />CV✓NER OF THIS PROPERT'/ TC PEFFORM THE INORK FOR IVHICH .4PPLICATION IS PdADE AND I COh?PLY WITH THE STATE <br />CONTRACTORS LAW 7827 RCW AND 290.200 WAC. <br />� �-��'%' PEE <br />; `� ''ll� >,� /� ��il���l., ��-9�;�•/:�, <br />/ Signature' Date � <br />l� , _ <br />DEBIT & CREDIT CARDS ANE NOT ACCEPTED _ � <br />