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EL <br />.ICAL PERMIT AP���ICATIQN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEnAR STREET, EVERETT, WA 982G7 <br />425-257-8810 - FAX 425-257-8857 <br />���;,�. ,�i`.�/>v/'_ �� T <br />PROJECT ADDRESS <br />/' iG,e. I1i� l: /'.�.� / T � <br />Owner <br />Tenant <br />Mail AdCress <br />Mail Address <br />Ciry <br />Ciry <br />S!atefZip <br />Sta�elZip <br />Phone <br />Phone <br />i��/.'_/C: �` - r_:.-!:' � :;%/ /C (�T- ,�T i_�F �^!f�/N�i7iS.t �p'�il� Yfx hi�� ; �:���-G«''�'4L <br />Elec�rical Contractor Mail Address Ciry Ststa2ip Phona <br />iri-�ec.'sl_29-a� `� <br />State License Number <br />� :-_/' <br />Praposed Use of Building <br />Contract Price ot Work <br />Contact Person (Plan Review) <br />Description ol Work to Be Done: ,C i� -, i• i-= L��� i� �'F-- �� /-7�` N-� /�- <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 BY THIS OFFICE. <br />NOTE: WIHING IN NON•DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACC�SSIBLE SPACES CR ALONG ACCESSIBLE ROUTES OF iRAVEL SHALL BE MOUNTFC 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 />r?CCESSIBLE SPACES OR AL(�NG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />� ANGES OF WAC 51•20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />i rFFEBY CER7IFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />r,'��vISIONS OF LAWS AND OFDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEGFIED HEREIN CR <br />,u � i THE GRAN7ING OF A PERMIT DOES NOT PFESUM1'E TO GIVE AUTHOFITY TO VIOL4TE OR CANCEL 7HE PROVISIONS OF ANY OTHER <br />z; � A Tc OR LOCAL LAW FEGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT ! AM AURIORIZEO BY TNE <br />CwNER OF THIS PFJPERTY TO PERFORM THE WORK FOR WH/CH APPLICAAON IS MADE AND 1 COMPLY WITH THE STATE <br />CONTFACTG.4S LAW iH.27 RCW AND 296200 WAC. <br />6/ <br />Signature <br />ELECAP�REV82001) <br />/, �� � � FEE <br />Date <br />: jj�_�Oc7 <br />�� <br />