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EL��T It;.�L PERMIT APP�_ICATICI�V � <br /> CITY �F EVERETT i�'�RMlT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX«25-257-8857 <br /> �7 � S i a �ti S-(- <br /> PROJECT ADDRESS y aS <br /> �ver eTt H-ouSi .uG (�uTHc�e�i y �u 1 0�- Co4P�y �ver��(.aft clga-o I sol-5C,C.l <br /> Owner Mail Address Ciry State2ip Phone <br /> � h�� <br /> T�nant ' Mali Addres�. City State2lp Phone <br /> yvT�7u�,2 �G�zTi�'�� Ro- r,�o,c 3ai s "' �2r_n��Tn� w� 9�2� 3 3(ao Gs^S 3F�y <br /> Electncal Contractor Mail Address Ciry State2tp Phona <br /> ,LNT�2G=� v�z�z '�a3,5oo <br /> State �cense Number Contract Price of Work 3 L�� <br /> �,nitr�,t•I ��il Lluyd LSS-3491 <br /> _ yYlu�-TI 1=�w�1 �-y £ HA- Q�+-+- Lqn�Gu - 4aS•Soi�SGG/ <br /> Proposed Use of 8uilding Contact Person (Plan Revlew) <br /> DescriptionofWorktoBeDone: _ Rtmoue � R��1a�e � ,<ci-r�c� P�n2�5 �n Q,c�c1� �n,-�- <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCHTIONAL, FACILITIES UTILIZING SiATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WA:HINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE uITY OF EVEREIT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHEP <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS VVILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COIviMUNiCATIONS SYSTEM RECEPTACLES GN W,4LLS <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)?. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSlBLE 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 CERTIFY THAT I hAVE READ AND EXAMINED THIS APPL/CATIdN AND HNOW THE SAME TO @E 7RUE AND CORRECT. ALL <br /> PROVIS�ONS OF LAWS AND ORDINANf.ES GOVERNING THIS TYPE OF WORK WILL BE COMPL�cD WHETHER SPECIF1cD HEREIN OR <br /> NOT, THE GRAPITING OF A PEAM.1 r DOE3 NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOPJS OFANY OTHER <br /> STATE OR LOCAL L4W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I RM AUTHORIZED BY THE <br /> OWNE!? OF THIS PROPEATY TO PERFORM THE WORK FOR WHICH APPLICATION 1S MADE AND 1 COMPLY WITH THE ST'ATE <br /> CONTHACTORS LAW 18.27 RCW AMD 296.200 Wi1C. <br /> �nl/.C��riu ` �� _� // /1�/ FEE <br /> � � <br /> Signaturn—�� Date i <br /> � dlll-d73 ' <br /> ELECAP(REV&2001) - <br />