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ELEC , FiICAL PERMIT AE �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Gso i l��L �. �� ��,�.� �-��- i <br />PROJECT AUDRESS <br />C� l� ��-�c �(� <br />Owner <br />Mail Address <br />City <br />State2ip <br />Phone <br />Tenarl� Mail Addros^, Cily Stale/Zip Phone <br />�-�' �fV� �C-ce:Gr-�c Z� I l P�N� �-r{- �,JIFq92o � 2�7 -`i�/o'7 <br />Eleclrical Contraclor Mail .4ddress Ciry State2ip Phone <br />ILM� � r� �0�7 G� _ 1� <br />State License Numher <br />��� <br />Prop�sed Use ot Building <br />Descriplion o( Wark to Be Done: <br />l�'c�r;�` <br />CoNract Price of Work <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONA�, FACILITIES UTILIZING 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. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE F.'�CILITIES PLANS W ILL BE REVIEWED BY THIS 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 ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENV�RONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHEF C?PERABLE E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL B�_ MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F A�D NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THA7 1 HAVE READ AND EXAMINED THIS APFLICAT/ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL EfE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DO[S NOT PRESUME TO GIVE AUTHORITY TO VIDLATE OR CANCEL rNE PROVI SIONS OF ANY OTHER <br />STATE OR LOCAL U1 W REGULATIIJG CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT / AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEATY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COM11PLY W/TH THE STATE <br />CONTRACTORS LAW 1827 ACW AfVD 296.200 WAC. <br />�, L� � �f ��.� u-�—��--- l c- z�i - c> 3 <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �' � 1 D- I I I <br />FEE <br />