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E <br />RICAL PERMIT A�r�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />9�1 / ��` �, S:l�. �o� � <br />PROJECT ADDRESS <br />/]— - — — __ / / A nr�.,.� ..��'tft L' < <br />Owner <br />Tenant <br />Meil Add�eee <br />Me!1 Atldrese <br />Clty <br />Clty <br />/J��� <br />Eleclricel Conireclor Meil Pidress Clly <br />,4�s-����y7� E�,�,�s s�/�/a� <br />Slele License Number <br />Piaposed Use ol Bulldinq <br />Descriplion ol Work lo Be Done: <br />ly�s) �rr-naix <br />Stete2ip <br />Srate2lp <br />S�eteQip <br />Contrect Prlce ol Work <br />�/rE.i .��NdL�.e <br />Contect Person (Plen qevlew) <br />Phone <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, F? ;ILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCN JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSU[D. WAC 296-46•140. ALL OTFiER <br />EL�UCATIONAL FACILITIES AN� ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON•DW ELLINGS IS FEOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSI6ILITY: ELECTR�CAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALt.S <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL B[ MOUNTED A MINIMIIM <br />OF 15 INCHES ABOVE THF FLOOR. WAC 51•20 SEC. 3106(c�2. <br />ENVIRONMENTAL AND OTNER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OF ALONG ACCESSIBL.F. qOUTES OF TRAVEL SHALL BE MOUN7ED WITHIN TF'E REACH <br />RANGES OF WAC 51-20 SEC. 3106�b)4 E 8 F ANU NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEFEBY CERTIFI' THAT I HA VE REAO AND F.1'AAf/NFD TnIS APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PFOVISIONS OF LA1yS AND ORCINANCES GOVERN/NG THIS 7YpE OF WORK WILL CE COMPLETED WHETHER SPEGFIED HEREIN OR <br />NOT, THE GRANTING OF A PERA4/T DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL 7HE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTqUCTION OR THE PERFORMANCE OF CGNSTRUCTION THAT I AM AUTHORIZED BY iHE <br />OWNEF OF THIS PFC^ER�Y TO PERFORM1I THE WORI( FOR WH1CH APPUCATION IS MADE AND I COMPLY WIiH THE STAiE <br />CONTRACTQpS LAW IB 27 RCW AND 296200 WAC <br />DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED �p3( 6• f�) <br />FEE <br />