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, PLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 y�n�� - 7�� fav� S C PROJECT ADDRESS Owner Tenant State License Number �� Proposed Use of Building Description of Wark to Be Done: � �� Mail Address Mail Adtlress man Haare55 Ciy Ciry City State2ip State/Zip SWte2ip Contract Pnce ot'Nork Contact Person (Plan Review) 7D0 Phone Phone Phone NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE APPROVED PLANS BEFORE � TYVOF EV R�ETT PERN TAWILL, BEHSSUED. J WACM 96 46-H OW ALL OTHER EDUCATIO�fAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS UFFICE. NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEI,NAYS, MC OR AC CABLE. HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPEFiABLE EQUIPMENT WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 8E MOUNTED WITHIN THE REACH RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOF. I HERE9Y CERTIFY THAT / HAVE READ AND EXAMINED ThIS APPLICATION AND KNOW THE SRME TO BE TRUE AND CORRECT. ALL PROVISIONS OF G1 W5 AND ORD/NANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEREIN OR NOT THE GRANTIN� OF A PERMlT DOES NOT PRESUME TO GIVE AUTHORITY TO V/OL1 TE OR CANCEL THE PqOVI5/0NS OF ANY OTHER STATE OR LOCAL WW FE('iUWTING CONSTRUCT/ON OR 7HE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF 7HIS PROPEHTY TO PEAFORM THE WOAK FOR WHICN APPL/CATION IS MADE AND I COMPLY WITH THE STATE CUNTRACTORS L4W 18.27 RCW AND 296.200 WAC. Signature Dete ELECAP�REVB2001) EU� Z I I �OGq FEE