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� <br />� <br />ELEC�RICAL PERMIT A�"�LICATICyN <br />CITY OF EV�RETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />5� l 3 0 �✓En_�2E �v l�/� .�.��Jecrr 9?�03 <br />PROJECT ADDRESS � <br />l,� Mua_ai-!�/ llo. !-7.U. L�x /SO � WooDe�,uv L1�i 9�'�9� 3G-0��aS}7cY� <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Contractor Mail Address <br />SE�UDG�Dlao2C� S _ <br />State License Numher <br />Proposed Use of Buiiding <br />Ciry <br />Clty <br />ccy <br />State(Z(p <br />State2ip <br />�j'�OSa- <br />StatelZfp <br />�� i DOO. �,u <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Descriptfon af Work to Be Done: ,��.�,yGr� ,tG� S/6,N l�D/9 �'iDV .%.uG,�G I�YfI.S_/i <br />Phone <br />Phana <br />Phone <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 CI i Y OF EVERETT PERMIT WILL BE ISSUED. WAC �96-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CAflE FACILITIES PIANS N/ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRiNG IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SY.STEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 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 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 APPLICAPON AND HNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVlSIOMS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF WOAK WILL BE COMPLETEO WHEfHER SPECIFIED HEFEIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V10G1TE OR CANCEL THE PROVISIONS OFANY OTNER <br />STATE OR LOCAL !AW REGULATING CON51 �RI �CTION OR THE PEflFOFMANCE OF CONSTRUCTIOM TNAT 1 AM AUTHORIZED BY TNE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APFLICATION IS MAOE A�VJ I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 FCW AND 296.200 WAC. <br />Slgcature Date <br />� �a��-o i � <br />ELECAP(REV M001) <br />FEE <br />