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E <br />ICAL PERMIT AP��ICATION <br />CITY OF EVERETT PERMIT SERViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FP,X 425-257-8857 <br />W oa 5� �v�a�:,; � rv�,�` �k�� �S � <br />FROJECT ADDRESS <br />own�:r <br />Te�ant <br />I'io �- �f E.�Ltia>> n'b� �, �i`aS� 6��' `�Q � <br />Mail Address <br />Mail Address <br />City <br />City <br />State2ip <br />State2ip <br />Phone <br />Phone <br />(J�i ''.��atL� c�J� ) �6�'�Sa s`i`�2 <br />ElectriCal ContraClo� Mail Addrass Cfty State2ip Phone <br />State License Number <br />R��A « <br />Proposed Use of Building <br />.�•2 � Sc�o'= -f �. v,,�, <br />Conlract Price of �York <br />5.�.v�l,�ti � �s6 a6a3 <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �� �D�-� pCr` �jJrL[... �i.-pM� <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 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <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 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTRCL r�ECEPTACLES AND OTHER OPERABLE EQUIPMENT 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 ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES CaOVERNING THIS TYPE OF INORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANT/NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY THE <br />OIM1�NcR OF THIS PROPEATY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTFiACTORS LAW 1827 RCW AND 296.200 WAC. � <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Dete <br />E G�{p (� -I �iS <br />�EE <br />