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ELECT. �ICAL PERMIT AP�-LICATION <br />CITY OF EVERETT PERMIT SERVICFS <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 42r257-8857 <br />��50�� ��{` �r.G..l¢,a.-��ofil� <br />PROJECT ADDRESS <br />�c� � v�ec �C <br />oW�,a� <br />Tenant <br />Mell ACdreee <br />Mall Addrese <br />Confracl0r Mail Atldress <br />�-M �r�-!�L �f�"O'7(o .1:L <br />S�ate License Number <br />SF� <br />Proposed Use of Bulltliny <br />Description of Work lo Be Done: <br />cuy <br />Clty <br />Ciry <br />6tate/Zip <br />StetelZip <br />State2�p <br />-L'''"' <br />Contract Pdce ol Work <br />Contact Pe�son (Plan Review) <br />Phone <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIJNAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BV THE STATE OF WA�HINGTON. APPLICANTS WITH SUCH JOBS MUSl SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL E3E ISSUFD. WAC ?.96-46-140. ALL OTHER <br />E�UCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIFED 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 TRAVE� SHALL BE MOUNTED A MINIMUM <br />OF 151NCHES ABOVE THE FLOOR. WAC 51-20 SEC 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTRCL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <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 8 F AND NOT LESS THAh 36 INCHES ABOVE THE FLOOR. <br />I HEFEBY CERT/FY iHAT / HAVE READ AND EXAMINEO THIS APPL/CATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS ANO OHOINANCES GOVERNING THIS TYPE CF WORK WILL BE COMPLE7ED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE Al/THORITY TO VIOLATE OR CANCF.L THE PFOVISIONS OFANY 07HER <br />SiA TE OR LOCAL LAW qEGULAT/NG CONSTRUCTION OF THE PERFORMANCE OF CONSTflUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEF OF ThIIS PROPEFTY 70 PERFORM THE WOFK FOR YVHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 FCW AND 296200 WAC. <br />�,C�. L . � iA l��_ '� —? �'��T <br />Signeture <br />OEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />De�e <br />FEE 00 <br />5� <br />�oyv�-to�9 <br />