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CAL PERMIT APO ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STPaEET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />1--�0 � Pv��.i �R <br />PROJECT ADDRESS _ <br />A4 AAYS V111 E <br />Owner Mail Address pcity State/Zip Phona <br />Tenant Mail Address City State/Zip Phong <br />II._� ►-M C; L S Sil 4) 19V. Sy AomcosUJA T2,5--3 3012 E <br />9:1 rtrieal Contractor Mail Address City State/Zip Phors <br />i-�►4 M�1L� � I �9 (3K/( <br />State License Number <br />1LF'� l \D ev\LC� <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Contract Price of Work <br />Contact Person (Plan Review) <br />L_� �-, C�P,A 4 <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 PERWAC 296-46-140. ALL OTHER <br />EDUCATIONAL ACILIITI S AND ALL HEALTH CARE FACILIITIESILL PLANS WILLSD. E 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 <br />ES OR ALONG <br />SAC SEC. ACCESSIBLE <br />ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15N <br />ENVIRONMENTAL .AND"OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC 5ES OR 20 SEC. 31,06(b 4CE i£ FtBLE ANDR OUTES OF TRAVEL SHALL BE T LESS THAN 36 INCHES ABOVE UTHE FLOOR. <br />OOR If THE REACH <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED HIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING HIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUHORITY TO VIOLATE OR CANCEL HE PROVISIONS OF ANY OTHER <br />OWNER OF OTH�IS PROPERTY TO PERFORMCONSTRUCTION <br />WORKTHE <br />FOR PERFORMANCE <br />WHICH APPLICATION CONSTRUCTION. <br />MADE AND I COMPLYAUTHORIZED <br />WITH HE STATE <br />CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br />FEE <br />Signature Dale <br />ELECAP(REV 812001) d /�J� <br />