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ELEC' � RIC�►L PERiVIIT AF- �LICd4Tl0�i <br />CITY OF EVEFtETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREIT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�l S 13 �.�-� � t�`-A� ,��.o�- <br />PROJECT ADDRES� <br />Owner <br />Tenant <br />Mail Addross <br />Mail Address <br />City <br />City <br />State2ip <br />State2ip <br />Pho�e <br />Phane <br />k�M ���.�-�« <br />Eleclrical �ontrador Mail Atldress City State2ip Phone <br />K�r �cc �-o� � � t <br />State License Number <br />��� <br />Proposed Use of Building <br />Description of Work to Be Done: <br />� /�lcta� <br />Coniracl Price o( Work <br />Contact Person (Plan Review'� <br />NOTE: PLANS FOR ELECTRICAL 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 PLANS 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 REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLING,S' IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSICiILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLL-S ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLF 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 CONTP.OL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE RUUTES 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 FLOQR. <br />1 HEREBY CERTIFY THAT I HAVE f7EAD AND EXAh41NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED V✓HETHER SPECIFIED HEREIA' OR <br />NOT, THE GRANTING OF A PERMI'f DOES NOT PRESUME TO GIVE AUTHORITY TO L'lOLA TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />SL4TE OR LOCAL LA W FeGI,'LATl,VG CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCiION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPERTY TO PERFOFM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW ANO 295.200 WAC. � <br />�^1/l^—�-v[+-nn� �— <br />Signature Date <br />DEBIT & CREDIT CARDS AflE NOT ACCEPTED � D���_ <br />FEE <br />�� � <br />