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ELEC�ICAL PERIIIIIT AF �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />> >� � 7 � x' `, n�� � <br />PROJECTADDRESS �; �� �� f,�1 C7�), �i��r= c/C�,S�Z <br />�- ,C�„ <br />Owner <br />Address <br />City <br />State2ip <br />�'z ?S " <br />Phone <br />Tenanl �Aail Addiass City State2ip Phone <br />;�� ��u �� ��c�,, z P�r ��- � l � 5���r:�„�.�� ��:� ��z;� v..� .���,��r.� <br />Electrical Contractor Mail Address City State/Zip Phone <br />�1�� ��.�-�—L� �� ,� �i 7�17/!� — <br />State License Number <br />T1?/1�)'lG� !�C-7l L1,(' F% <br />Propose Use Building <br />Description of Work to Be Done: <br />Contract Price of Work <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTFiICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLAIVS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS 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. 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 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 />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED i HIS APP�ICATIO,V AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T}'PE OF WORX WILL BE COMPLETED WHETHER SPEGFIED HEREIN OR <br />NOT, 7HE GRANTING OF A PERMl7' DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUC'fION OR THE PEAFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPEFTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY :NITH THE STATE <br />CONTRACTORS LAW 18.D FCW AND 296.200 N✓AC. <br />� <br />/� � C' �:r_ � � FEE <br />lt• -. <br />Signature � Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �����(j- O <br />