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� <br />� <br />E <br />. 31CAL PERMIT AP���ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320Q CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�S`-C�6 .�%� �� ��///� <br />.0 <br />Owner <br />Mail Adpdress Clty <br />..��� b�/C %�U� 7 jL <br />Tenant Mail Address ���Y <br />Electrical Contractor Mall Address ���Y <br />�J - �ir�� <br />�Sta e License Number <br />Proposed Use of Building <br />Description ol W ork to Be Done: <br />�f ��� 6fsi <br />Stete2ip <br />Ste�e/Zip <br />State/Zip <br />Contracl Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Phona <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASH�NGTON. APPLICAP�TS WITH SUCH JOBS MUST SHOW THE STAl'E <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIO�'AL FACILITIES '�'D ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: Wii : NG IN NON-D1hF _INGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMf�'UNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE RUUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABUVE 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 REACN <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVF THE FLOOR. <br />1 HEFEBY CERTIFY THAr 1 HAVE FEAD AND <br />PROVISIONS OF LA WS AMD ORDINA <br />NOT, THE GRANTING OF A PERMIT D <br />STATE OR LOCA!. LAW REGULATIN( <br />OWNEF OF THIS PROPERT✓ TO i <br />CONTpACTOF51�717 132I RCW AND <br />WAC. <br />� THIS APPLICATION AND <br />THIS TYPE OF WORK WA <br />FOH <br />Signature Date <br />ELECA��REV fl2001 � <br />TO BE TRUE AND CORRECL ALL <br />WHETHER SPECIFIED HEFEIN OR <br />L THE PROVISIONS OF ANY OTNER <br />THAT 1 AM AUTHORIZED BY THE <br />ND 1 COMPLY YYITH THE STATE <br />�t�� FEE � �� <br />D <br />�/ <br />�d <br />