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EL�C � RICAL PERMIT A� r'LICATION <br />CITY O�F EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />`� 19 1� �P usos�- <br />PROJECT ADDRESS /� <br />C. o�C� �-C�Cv� <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Ccnlractor Mail Address <br />(� r t..��c� 076 J � <br />State License Num6er <br />S� <br />Proposed Use of Building <br />City <br />City <br />City <br />State2ip <br />State2ip <br />State2ip <br />/Goo • " <br />Conlract Price of Work <br />Contacl Person (Plan Review) <br />Description of Work to Be Done: (vdnl (('L�S�� �v 1"��� <br />Phone <br />Phone <br />rnone <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 W ILL 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 COA4MUNICATIONS 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 />EIJVIRONMENTAL AND OTHER CON i ROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT W ITHIN <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 />I HEREBY CERTIFY THAT 1 HAVE REAO AND EXAh41NED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND OP.DINANCES GOVERNING THIS TYPE OF WORK WILL BE COMFLETED WHETHER SPEC.'FlED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OFANY OTHER <br />STATE OR LOCAL LALN REGULATING CONSTFUCTION OF THE PERFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPERTY TO PERFOFM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY IN/TH THE STATE <br />CONTRACTOAS LAW 1 B27 RCW AND 296.200 WAC. � � <br />� <br />Signature <br />DEBI i& CREDIT CAR�S ARE NOT ACCEPTED <br />Date <br />FEE <br />�n � ir� -��3 <br />