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� ���CZ: �i:AL PERMIT Af�'LICATION <br /> CITY OF EVERE'i? PERMIT SER�'ICES <br /> 'r 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> J � 1D2G <br /> y�/0 7 �il�.G2CEt.l W A`� <br /> PROJECT ADDRESS <br /> Is CE" ��YauF S►o9 Ever�aE� �p`� E�euue� wR 982xi 9�s'438.49�G <br /> Owner Mail Address Ciry State/Zip Phone <br /> SAmE _ <br /> Tenant � Mail Adtlress City StatelZip Phone <br /> '�A9bE25 �1.�7RIG P 0 60�(1/.�2 EvE2ETr W A q8206 42� 2SZ 2/07 <br /> Electrical ContraCtor Mail Address City State2ip Phone <br /> QOD GEEC232PA � 132, OOU �� <br /> State License Number Coniract Price of Wori< <br /> fZ��ncF,ce- Loa�E �.�J A�.�,Tu�2 <br /> Proposed Use f Building Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: �,pM(�.E'fF�(r7F�.� ��G�It�C S�i'S''�(Y�Si �nT <br /> � Nr.�u��.► �.. �¢F A�aa.m ` <br /> �.�-. <br /> l ,E <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WP.SHINGTON. AFPLICHNTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETI' PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER ' <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> �IOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN flACEWAYS, MC OR AC CABLE. <br /> HANDICAP(�ED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES �R ALONG ACCES513LE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. VJAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTCS 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 CEATIFY THAT 1 HAVE qEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAbYS AND ORDINANCES GOVERN/NG THIS TYPE OF WORK WILL BE COMPLETED WHETNER SPECIFIED HEREIN QR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PqESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PflCVISIONS OF ANY OTHER <br /> S:ATE OR LOCAL W lh�REGUL4TING CONSTRUCTION OR THE PERFOAMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZEO BY THE <br /> OWNER OF THlS ll4��P�ROPERTY TO PERFORM THE WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOq 41 . 78.27 ACW AND 296.200 WAC. <br /> � <br /> i F�E � � �3 � <br /> Signature Date <br /> ELECAP�REV8/2�01) E ��jD t7—G�v <br />