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� <br />� <br />PROJEC7 ADDRESS <br />(3n (� rn�_nr,�a <br />Owner <br />Tenant <br />� RqNs wo <br />Electncal Contractor <br />ICAL PERMIT APF �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SZp� So. Z �� <br />Mail Address <br />Mail AddreSs <br />�s l/p r_t' <br />Mail Address <br />� i' a.V� S W � 'J / ; .o-// _ <br />Stale License Number <br />Re �,V,.,+..I <br />Proposed Use of Building <br />Description ol Work to Be �one: % p � u� 1( <br />,S(- L o <br />Ciry <br />City <br />City <br />Stete(Zip <br />State2ip <br />State2ip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <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 CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIP.EO TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM qECEPTACLES ON WALLS <br />WITHIN ACCESSI6LE SPACES OR ALONG ACCFSSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES NBOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CC'NTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACCESSIBLE 3PACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACN <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 7HA7 I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO 8E TRUE AND CORRECL ALL <br />PROVISIONS OF LA WS AND ORDIflANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLE7ED WHETHER SPECIFIED NEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PqOVISIONS OF ANV OTHER <br />STATE OF LOCAL LAW REGL'LITING CONSTRUCTION OR THE PERFORMANCE OF CCNSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPFRiY TO PERFOFM THE 11'OFK FOR WHICH APPLICATION IS MADE AND 1 COMPLV WI7H THE STATE <br />CON.TAACTORS LAW 78.27 RCW AND 296.200 WAC. <br />�� �o� �� <br />Signature Date <br />ELECAP�REVA/2001) E iJIIO "G'-( � <br />FEE <br />