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PROJECT ADDRESS <br />Owner <br />Tenant <br />ELECT71CAL PERMIT AP' LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Mail Address <br />Mail Address <br />City <br />City <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />/-1 �cjt,, /.�ro.L4a} �P� Sk;4z-; C�4 , 0 & yl,��335-ifa�' <br />Electrical Contractor Mail Address City State/Zip Phone <br />,Ig (. L�7 () ? L <br />Slate Licensd Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />D Sb <br />� <br />Contract Price of Work <br />Contact Person (Plan Review) <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 />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296.46.140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED 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 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 EQUIPMENT 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 & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT I <br />PROVISIONS OF LAWS ANI <br />NOT, THE GRANTING OF A I <br />.STATE OR LOCAL LAW RED <br />OWNER OF THIS PROVE; <br />CONTRACTORS LAW 18.271 <br />FRI:I'lrbJ <br />WORK <br />APPLICATION AND KNOW THE <br />-YPE OF WORK WILL BE COMF <br />✓E AUTHORITY TO VIOLATE OR <br />i TO BE TRUE AND CORRECT. ALL <br />7 WHETHER SPECIFIED HEREIN OR <br />EL THE PROVISIONS OF ANY OTHER <br />J. THAT I AM AUTHORIZED BY THE <br />AND I COMPLY WITH THE STATE <br />FEE <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />