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� <br />� <br />RICAL PERlVIIT A�"�.�LlCATION <br />CITY OF EVERETT PERIi91T SERViCES <br />3200 CEDAR STREET, EVEREiT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />// � / l-�'�, e� r.c <br />��!'L% / �� ����r u Q/1L/� � <br />PROJECT ADDRESS <br />�G , Y. ,�Rur� /��ol o.�/o,va-vp.», �a� <br />Owner <br />l�0/ //� � <br />Mail Address ' <br />S� 3ci/E <br />Mail Address <br />tiecincal �onlrac[or Mail Address <br />��1'1�_ Cn^,gL�_;� �- IC`Y-IG'� <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />/�o -�i�9�`'',�.5� �'��� <br />��Cuue 9�� ��f <br />!�-d� c'UE�C'�TT GGA 9�>03 -��$j <br />City <br />�� <br />City <br />Slate2lp <br />Slate2ip <br />Phone <br />Phone <br />Cily Stale/Zip Phone � <br />� � <br />Contract Price of Work <br />Conlacl Person fPlan Reviewl <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY T'-IE STATE OF WASHI�JGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLAhS 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 />NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CA9LE. <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 "0 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 8E MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F 4ND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL/CATlON AND KNOW THE SAME TO 6E TRUE AND COARECT. ALL <br />PROVISIOPlS OF L4WS AND OqDINANCES GOVERNING THlS TYPE OF WORK W/LL 9E COMPLETED WHETHER SPECIF/ED HEAEIN CR <br />NOT, THE GRAN7ING OF A PERMIT DOES NOT PRESUh4E TO GIVE AUTHOqITY 70 V/OLA TE OACAIJCEL THE PROVISIONS OF ANY OTHEF <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEAFORMANCE OF CONSTqUCT/ON. THAT I AM AUTHOF/ZED BY THE <br />OWNER OF 7HIS PROPEIiTY TO PERFORM THE WORK FOR WHICH A?PLICATION IS MADE AND 1 COMPLY WITH THE 5TATc <br />CONT!-IACTORS LAW 18.27 RCW qND 296.200 WAC. <br />.� --- <br />C`�_� <br />Signature <br />Date <br />ELECAP�REVfl/2001) ���7�5 � <br />FEE <br />