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� <br />� <br />E� �ICAL P�RMIT AP�rLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�� U � ��ii/�1.� � L�—/TLV Ci <br />Owner <br />Tenant <br />� � <br />State License Number <br />Mail Adtlress <br />Gic � Atldress <br />Mail Address <br />Proposed Use of Building <br />Descnption af Work to Be Done: �/ I ��6 / <br />Ciry <br />Ciry <br />Gity <br />G�/f� �/.���% <br />Slate/Zip <br />Stale2ip <br />Stute(Lip <br />Contract Price of Work <br />Contact Person (Plnn Review) <br />Phone <br />Phana <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES U1;lIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH �78S MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. 1`�AC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE RE\'IEWED 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 SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE 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 />I HEREBY CEATIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PROVISIONS OF L7 WS AND ORDINANCES GOVERNING THlS TYPE OF WOFK WILL BE COMPLETED WHETNER SPECIFIED HEREIN OR <br />NOT, THE GRANrIN6 OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OA CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOflIZED BY 7HE <br />OWNER OF THIS PAOPEATY TO FERFOFM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOFS lAW 19.27 RGW AND 296.200 WAC. <br />Signawre <br />ELECAP�REVfi2001) <br />_�-��v <br />Date <br />Eoz� 5-aU3 <br />FEE <br />