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ELEC i RICAL r�ERMIi AFt�LICATlO(V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, E\�ERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />`l�l� lE`�`',Ad ( �-�� — <br />PROJECT ADDRESS <br />O�vner <br />Tenanl <br />Mail Address <br />Mail Address <br />Contractor Mail Address <br />�Li�tC��c� O��_S1 <br />State License Number <br />� �` ` <br />Proposed Use of Building <br />Description of Work to Be Dane: <br />ZOo �, <br />Ciry <br />City <br />Cily <br />State/Zip <br />State2ip <br />State2io <br />��v.�v <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />Phone <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 8E <br />APPROVED BY THE STATE OF WASHINGTON. APPLICAf�!TS WITH SUCH JOBS MUST SHOW THE STATF <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 REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED A.CCESSIBILITY: 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 />ENVIRONMENTAL AND OTHER CONTROL HECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHI� <br />RANGES OF WAC 5E 20 SEC.�N 6(b)4CE & FI AND OTTEES�S THAN 36LINCHES ABOV�E THE �LOOR �N THE REACH <br />1 HEREBY CERT/FY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE A,'JD CORRECT. ALL <br />PFOVlSIONS OF LAWS AND ORDINANCES GOVERNlNG THIS TVPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, 7HE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE CR CANCEL THE PFOVISIONS OF ANY OTHER <br />57ATE 0.4 LOCAL LAW REGULATING CONSTFUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY THE <br />OVJNER OF THIS PROPERTY TO PER�ORM THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />COFJTRACTORS LAW iH27 FCW AND 296.200 INAC. <br />�%l,..ti(,.�(�.�b��- —I-�2`O3 <br />Signa W re Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED � d.3� 9- �`� q <br />FEE <br />