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EL��T ���AL PF�MIT AP: LICATION <br />�;;ITY O!� IEVERE1rT F�ERMIT SERV�CES <br />320� �ti=DAR STREE7, �V�HETT, WA 98201 <br />425-257-8fl ! 0 � FAX �;�5-257-8857 <br />32zy -Noyj ��� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrical Contractor <br />State Licensa Number <br />P .J I a..� <br />Proposed Use of Building <br />Mail Address <br />A7sil Address <br />Mail Address <br />City <br />City <br />City <br />State2ip <br />State2ip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description ol Work to Be Done: R��„� ;;t e � ��sl �,� 5 (Su � � �} ��1 <br />� <br />Pho.ve <br />Phane <br />Phone <br />NOTE: pLANS FOR ELECTRICAL WORK AT EDUCATIOPJAL, FACILITIES UTiLIZINr, STATE FUNDS MUST BE <br />APPROVFD BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPFOVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•1a0. ALL OTHER <br />EDUCATIO�IAL FACILITIES AND ALL HEHLTH CARE FACILITIES PLANS WILL BE FEVIEWED BY THIS OFFICE. <br />NOTE: WIRI�IG IN NON-DWELLIWGS IS REQUIRtD TO BE IN RACEWAYS, MC OR AC CAL3LE. <br />HANDICAPPED ACCESSIBILITY: ELECTRIC.4L AND COMMUNICATIONS SYSTEM RECL=.PTACLES ON WALLS <br />WITriIN ACCEuSIBLE SPACES OR ALONG ACCESSIBLE ROiJ'fES OF TRAVEL SHALL BE A40UNTcD A MINIMUM <br />OF 15 I�JCHES ABOVE THF FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER C'ONTROL RECEPTACLES AND OTHER OPERABLE EGUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WlTHIN THE REACH <br />RANGES OF WAC 51 •20 SEC. 3706(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOQR. <br />I h;ERE9Y CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOVt' THE SAME TO BE 7RUE .AND COFFECL ALL <br />FFOVISfONS OF L.iWS AND OFDINANCES GOVEFPJING rHIS NPE OF WORK WILL BE COMPLE7ED WHETHER SPECIFIED HEFEIN O.4 <br />NOT, THE GFANTING OF A PEAMIT DOES NOT PFESUME TO GIVE AUTHOFITY TO VIOL;ITE OACANCEL THE PROVISIONS OF ANY 07HER <br />57Aic OR LCCAL L7W FEGUWTING CONS7FUCTION CF rHE PEFFORhfANCE C� CONSTFUCTIOM1'. THAT I Afd AUTHCAIZED 8Y THE <br />OLVNEA OF rHIS PFOPEFTY i0 PERFORM rHE WOFK FOR 4VHlCH APPL/CATION IS �L1ADE AND 1 CCMPLY WITH THE STATE <br />CONTFACTOFS LAW 18.27 FCW ANO 296.2G0 WAC. <br />Signature <br />GLF.CAP�RE4 82001) <br />FEE �Datz <br />C'��' �J� <br />� o�> i_ l c' 7 <br />