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E�EC`. RICAL PERIVIIT Af .�LICA�'ION <br />CITY O� CVERETT PERPJIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-II857 <br />1��—� i �j+�"��,1�' G,.)td;l ��'-i-� <br />PrIOJECT ADDRESS <br />�� } <br />r lcl 1r-ei. �L <br />On�ner hlail Address Ciry <br />Tenant <br />(C <br />Electrical <br />l C. <br />Mail Address <br />h1ail Address <br />IC�ti1r-�cc �4-o7�-J 9 <br />State License Number <br />City <br />City <br />StateiZip <br />State2ip <br />State2ip <br />/�� �.a�� <br />Contract Price of Work <br />54-1 � <br />Proposed Use of Building Contact Person (Plan <br />Description oi !^!er4 to Be Done: /V Et,J 2i�0 6q b,, q)cw� cQ ��SI ���.,i-iG-l' <br />Phone <br />Phone <br />(6 / <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDU�;ATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPFiOVED 6Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />P.°PPOVED PLANS BEFGRE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. AL.L OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED [3Y THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIHED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF THAVEL SH,OLL 8E MOUN"fED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER COPJTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALOIJG 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 CEATIFY THAT 1 HAVE READ AND EXAM1fINED 7HIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECL ALL <br />PnOVISIONS OF LANlS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 5E COMPI.ETEU WHETHEfl SPECIFIED HEREIN OR <br />��GT, TtfE GFANTING OF A PeRMIT DOES NOT PAESUML `O GNE AI�THOFITV TO VIOLATE OR CANCEL THE PFOVISIOPlS OF ANY OTHER <br />STATc OR LOCAL LAW REGULATING CONSTRUC710N OR 'INE PE:RFOFM1IANCE OF CONSTFUCTION. THAT 1 AM AU7HORIZED BY THE <br />OIVNER OF 7HIS FROPERTY TO PERFOFM THL LVOFK FOA WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CCNTRACTCRS LAW 7827 RCW AND 256.200 WAC. <br />�'�,L�. �w� l���U..�"GV2� IG "C� �� ' l <br />S.ynature Da�e <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �p3 �y�-0 5 Z <br />FEE <br />