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� <br />ELEL fRICA'L PERNIIT A�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />��� 12 f{�j�;.._ <br />PROJECT ADDRESS <br />v,,�, ���,, �.�,i �1 � ��'.J l5%4J �'" ���/� Sl�u�bu) G,4 9,y2GZ 36f)bsZ 7S9'� <br />Owner <br />Tenant <br />i-1 C_ � i b',1 L� <br />Electrical Contractor <br />State License Number <br />Mad Address <br />Mail Address <br />NC, <br />Mail Address <br />�p r <br />I" I _ <br />ProposeA Use of Building <br />Ciry <br />City <br />City <br />State2ip <br />State2ip <br />State2ip <br />Contract Price ot Work <br />Conlacl Person (Plan Review) <br />Phone <br />Phona <br />Phone <br />� <br />Description of VJork to Be Done: GW I lU- ��� i. 3�'$C�'�� C� � � � U1� �E:f�R' (�� � c��5 r�:� 6 <br />, <br />��;,,.i �.)�,_ <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STF.TE OF WASHINGTON. APPI.ICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. INAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWf.YS, MC OR AC CABLE. <br />HANDICAPPED ACCE3SIBILITY� ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACL[S ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE l'I�E FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT 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 L[SS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEFE6Y CERTIFY THAT 1 HAVE READ ANO EXAM1fINED TH1S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH1S TYPE OF WOFK WILL BE COMPLETED WHETHEF SPECIFIED NEREIN O� <br />NOT, 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO G1VE AUTHORITY TO VIOLATE OR CANCEL THE PFOVlSIONS OF ANY OTfiER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORh1ANCE OF CONSTFUCTION. THAT / AM AUTHOR!ZED BY THE <br />OWNER OF THIS PflOPERTY TO PEflFORM LHE WORK FOF WHICH APPLICATION IS MADE AND I CObIPLY WITH iHE STATE <br />CONTRACTORS LAIN 18.27 FCW AND 296200 WAC. <br />� <br />� ��-oh-o3 <br />Signature Date <br />DE81T & CREDIT CARDS ARE NOT ACCEPTED �.•�3> �,� � <br />� � �'✓" <br />FEE <br />