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ELEC'i RICAL PERMIT A�r�LICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�s►3 ���1����z3t- <br />PROJECT RDDRESS <br />�'� Icl L ���I� <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Ci�y <br />City <br />State2ip <br />State2ip <br />Phone <br />Phone <br />��MEt�.�:�� �fi� P�nlr_ s-� �.�F �l�_�I�zo I 25Z ��`10� <br />Eleclrical Contractor Mail Address City State2ip Phone <br />j��t �- ►�tF� �-a� � s 1 <br />Slate License Number�' <br />��� <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Conlract Price o( Work <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST �� <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS tAUST SHOW THE STA'iE <br />APPROVED PLANS BEFORE CITY OF EVERETf PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEVJED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS HE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTfiICAL AND COMMUNICATIONS SY:iTEM 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 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 ThIA� 36 INCHES ABOVE THE FLOOR. <br />I'NEREBY CERTIFY THAT I HAVE READ AND EXAhI1NED TNIS APPLICATION AND KNOW THE SAME TO 6E TRUc AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNI�'G THIS P/PE OF WORK WILL BE� COMPLETED WHETHER SPECIF/ED HEREIN OR <br />NOT, THE GRANT/NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OF CANCEL THE FROVlSIONS OF ANY OTHER <br />S7ATE OA LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR�dANCE OF CGNSTRUCTION. ThlAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS P.ROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION /S MAOE AND 1 COMP! Y WITH THE STATE <br />CONTRACTORS LAW iB.27 RCW AND 296200 WAC. � <br />� ���`.�Ll.��..��L �_fr-�3 <br />Sic�nature Date <br />DEBIT & CREDIT CARDS ARE MOT ACCEPTED ��� „1 _ OL� / <br />W <br />FEE <br />