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ELEC`e r�ICAL P�RMIT AFr�LICAI'ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9b201 <br />425-257-8810 - FAX 425-257-8857 <br />`1 � i s ( 6 A �E �Jes;- <br />PROJECT A/DDRESS <br />C���q �I��� <br />Owner <br />Tenant <br />P,lail Address <br />hlail .4ddress <br />Mail Address <br />� � 1r�.�=G�o7 �'I <br />Stale License Number <br />SF� <br />Proposed Use of Building <br />� ��Description of W ork to Be Done: ��GL1,P <br />Ciry <br />City <br />City <br />Stata2ip <br />State2ip <br />Stale2ip <br />Contract Price o( Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WF,SHINGTON. 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 REVIEW ED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIIJ 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 07HER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES CF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br />FANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE �LOOR. <br />1 HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SA�dE TO PF TRUE AND COFRECL ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHE �HER SPECIFIED HEFEIN OR <br />NOT, 7HE GRANTING OF A PERM11IT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />OWNER OF �THAS PRO ERTY�TO PER�rORM UTHECWOAKrFOR EWH�CH APPLI �ATIOONSSRMADE ANGHA COMPLY WI�HI ZTHEBSTATE <br />CONTRACTORS L4W 182? RCW AND 296200 WAC. <br />�'�.�: i,,,�' (,U c-azi,2 Ci� lt-o3 <br />Signa�ure Date / / <br />DE81T & CREDIT CARDS ARE NOT ACCEPTED �U jQG - C~ �` <br />FEE <br />