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� <br />`� <br />�CAL PERMIT APF�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� �J ,_-Z � liv�>-�i�l0/`'"C_ <br />PROJECT ADDRESS <br />� �,� .3�, s, ti�4 �L� <br />Owner <br />/� <br />Tenant <br />Mail Address <br />�FZ <br />Mail Address <br />EleCtncal ContrectOr Mail Atldress <br />��i (c_Int i � �-I-b 1� i <br />State License Number <br />1�-� �G �A <br />Proposed Use of Buiiding <br />Description of Work to Be Done: <br />Ciry <br />City <br />Ciry <br />State2ip Phone <br />��t-. <br />Slate2ip Phone <br />3(�v <br />`i�z <br />Stale2ip <br />I S 00 <br />Contra Price ot Work <br />Contact Person (Plan Review) <br />�S�' <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 />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-4G-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 RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />vVITHIN 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 CONTRO� RECEPTACLES AND OTHER OPERABLE E�UIPMENT 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 ADOVE THE FLOOR. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW <br />PROVISIONS OF UWS AND ORDINANCES GOVEFNiNG THIS TYPE OF {VORK WILL BE ( <br />NOT, THE GRANi1NG OF A PERM17 OOES NOT PRESUME TO GIVE AUrHORITY TO VIOLATi <br />STATE OR LOCAL LAW FEGULAT/NG CONSTRUCTlON OR THE PERFORMANCE OF CON� <br />OWNEF OF TH/S PROPERTY TO PERFORM THE WOflK FOR WHICH APPLICATION <br />CONTRACTORS L4W 18.27 FCW AND 296200 WAC. <br />1( <br />Signature <br />ELECAP�REV 62001 � <br />� TO BE TAUE AND CORRECL ALL <br />7 WHETHER SPECIFIED HEREIN OR <br />EL THE PROVISIONS OF ANY OTHER <br />J. THAT I AM AUTHORIZED BY THE <br />AND 1 COMPLY WITH THE STATE <br />FEE / 2 � <br />r� <br />� �oy-oG8 <br />ta <br />