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ELE � RICAL PERMIT A�PLICATION <br />CITY O�F EVERETT PERMIT SERVICES <br />3200 CF_DAR STREET, E✓ERETT, WA 98201 � <br />425-257-8810 - FAX 425-257-BB57 i <br />/G�d 99� .�'-. �'�l � 3 � <br />PRUJECT ADDRESS <br />Owner <br />Tenenl <br />Mall Addrese <br />Mell Addresa <br />Elecuicel Conliector Me�l Address <br />�4�sr,�i ��y1� tx►�;�Fs s!l�/� <br />Slsle License Number <br />Proposed Use ol Budding <br />�ieacription ol Work lo Be Done: <br />Ci1y <br />Clly <br />Cl�y <br />�y:�y) a�s�a�i� <br />Slate/Zip <br />S�ete2lp <br />Slete2lp <br />Conlrect Prlce ol Work <br />(c�2E�i �.s(svNdL�.� <br />Conlect Pe�son (Plan qaview) <br />Phene <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APFROVED PLANS BEFORE CITY OF EVERETT PEPMIT WII.L BE ISSUED. WAC 296-46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES FLANS WILL BE REVIEVVED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO f3E IN RACEWAYS, MC OR AC CABLE. <br />HANDiCAPPED ACCESSI6ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCEBSIBLE SPACES OR ALONG ACCESSIBLE ROUT::S OF TRAVF_L SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES A80VE i'HE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OiHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OF ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE M�UNTED WITHIN THE FEACH <br />RANGES OF WAC 51-20 SEC. 3106(b�4 � 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />l HERE6Y CElaTIFY THAT I HAVf. l7EAD AND EXAM1fINEO THIS APPUCArION ANO KNOW 7HF SAME TO BE 7RUE AND CCRREC7 ALL <br />PROVISIONS OF LAWS AND OqOlN4NCE5 COVERNING TH/S TYPE OF WORH WILL BE COMPLE7ED WHETHER SPECIFIEO HEREIN UR <br />NOT, IHE GHANTING OF A PEFM�T pOES NOT PRESUME TU OIVE AUTHORITY TO VIOLATE CR CANCEL 7HE PHOVISIONS OF ANY OTHER <br />ST4TF OR IOCAL LAW REGULA7ING CONSTRUCTION OR THE PERFORMANCE OF CONSTqUCT10N. THA7 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERfY 7p pERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATF. <br />CONTRACTQ(iS LAW 1 B2' FCN/ AND 296200 WAC <br />� tj FEE <br />Dele <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />E-� 3�L�156 <br />