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APR-23-02 TUE 04;06 PM <br />EL <br />� <br />FVERETT PERHIT SERVICES FAX N0, 425 257 8857 P, 03 <br />�TRIGAL PERMIT Ar+PLICATION <br />CITY OF EVERETT PERMIT SERVIC�S <br />3200 CEDAR STREET, 6VERETT, WA 98201 <br />425-257-8610 - FAX 425•257-8857 <br />`7a I (`o �� y -A�e. <br />,' �� <br />�Owner <br />7 <br />Mail Address <br />Cily <br />F�. i / /'/ / ll � <br />iARR7C ' Mall Addrass ciry <br />Lw-,�o�� Q�'�SP.��; 133�'i rJ� IC�*�l, i <br />Electdcal Contractor MeA AdCress Ciry <br />l.-C�n���s�i�t f �� <br />State LJcense NumUef <br />Proposetl Use o1 Building <br />Description of Work lo Be Done: <br />Stale2ip <br />�. <br />St.7to2ip <br />Phona <br />�Fa� as �- ��8 <br />Phone <br />c�.k �� �(a�st�zl �71 <br />6ta4�p Fhorta <br />�'��OU°? <br />ConVact Price of Work <br />SJ�-�'✓Y.�L�— �"��' ' i 1 �/��_ <br />Contact Person (Plan Revfew) <br />NOTE: PLANS FOR ELEC7RICAL WORK 1T EpUCATIONAL, FACILITIES UTILiZfNG STATE FUNDS MUST 6E <br />APPROVED BY THE STATE OF WASHIN(.iON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CI7Y OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEAITH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OI�FICE. <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO 6E IN RACEWAY5, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY; ELECTRICAL AND COMMUNICATIONS SYSTEM flECEP7ACLES QN WALIS <br />WITNIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUN7ED /� MINIMUM <br />OF 15 INCHES ABOVE THC FLOOR, WAC 51•20 SEC, 3106(c)2. <br />ENVIRONMEVTAL AND OTHER CONTROL RECEFTAC�.ES AND OTHER OPERABLE EQUIPME�T WITHIN <br />ACCESS19lE SPACES OR ALONG ACCESSIBLE ROU?ES OF 7RAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)d E& F AND NOT .IFSS THAN 36 INCHES ABOVE THE FLOOR. <br />1 N,ERc'8Y CERTlfY TNAT 1 HAVE READ AA'0 EXAMINED P,7�S APPLlCAAON AND KNOW 7HE SAME TO 8E TfiUE ANO CLARECT. ALL <br />PRGVlSIOh'S Of LAVJS AND OR^INANCES G�VEA�tilNl3 TFI1S TYPE OF WOFX WfLL BE COMFLETED V✓NETNER SPEClF/EU HEAEIN OR <br />h'OT, TNE GrV�7JTlA'G OFA PERMIT OOES NOT PFESUM� TO GlVE AUiNL'RITYTD VlOLATE OR CANCEL THE PROVlSlONS OF ANY OTNER <br />STATE OR LOCAL LiW AEGUL.liTING CONSTAUCTI7N OA Th1E PERFORMANCE GF CONSiAf1CilON, TNAi' l AM AUTHOF'ZEO 8Y THE <br />OWNER OF THIS Pi'iOPEATY TO PEAFOflM THE WOAX FOR WHICH APPl�ICATION IS MAOE AND I COMPLY WIRf THE 57ATE <br />coNTRAC70FS LAW re.27 fiCW allo 296200 WAC. <br />Slpndture <br />—1� C/� FEE �j'��/ �'1� <br />�� U <br />Date <br />ELECAPIFEVBl2001) �� �v, /`/ O/, <br />�.r � <br />