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ELEC�RlCAL �ERMI�' APPLICATION <br />Ci7Y OF EVERE7'T PERMIT SER`✓ICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 • FAX 425-257-8857 <br />�r�r3a �k�v� �a��s�_ <br />PRAJECT ADDqESS <br />O�Nner <br />Tenant <br />Electrical Contracto� <br />State License Number <br />Pronosed Use of Building <br />Mail Adtlress <br />Mail Address <br />�dail Ad�ress <br />��Description of Work to Be Uone: <br />CiD/ <br />City <br />Ciry <br />7�J �'r � <br />State2ip <br />Slate2p <br />State/Zip <br />Contracl Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Phone <br />NGTE: PLANS FOR ELECTRICAL WGRK 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 FACILITIE� AND ALL HEALTH CARE FACIL�TIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON•DW ELLINGS IS REQUIRED TO BE IN RNCEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIfI ACCFSSIBLE 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 RECEPTACLES AND OTHER OPERABLE E�UIPMENT I�VITHIN <br />RANGESI OF WAC 5E 20 S C�3N 6(b)4CE & FI AND OTTEESS THAN 36 INCHES ABOV�EUTHE �LOOR IN THE REACH <br />' HER�BY CERTIFY THAT I HAVE REAU AND EXA,4fINED THIS APPLICATlON ANO KNOW THE SAME TO BE TAUE AND COFFECL ALL <br />PROVISION;t OF LAWS AND OFDINANCES GOVERNING THIS TYPE OF WOAK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />ST�ATE OF LUCALNG�OFREGULATI G�GON� RUCTION�OR THE PEAr'ORMANCE OP CONSTFiUCTIOCN.L THAT FAOM A'UTHORIZED BY THE <br />OWfJER OF THIS PROPERTY TO PEHFORh1 THE WORK FOR WHICH APPLICATION IS IvfADE AND 1 COMPLY WITH THc STATE <br />COfJTRACTOFS LAW iH.D flCW AND 296.200 WAC. � <br />I I///J� � /' L� FEE <br />1L l�" `-' .�.� �' /�l ^ Q_L—._ <br />i <br />Si9naWre Data <br />DEBIT & CREDIT CARDS ARE NOT AC, 'TED .E D'-f D Z-08d <br />