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EL.E�T ril�;�AL PERMIT APFLICATION <br /> CITY OF EVERE'TT PERMIT SERVICES <br /> 3200 CEDAR STREET, E'JERETT, WA 98201 <br /> 425-257-8810 - FAX 425-207-8857 <br /> _ � , � � c <br /> %'1�� � 1 <<' r��� � `�, �ti z,���t ��t- � '�i <br /> PROJECT ADDRESS , <br /> �l�l t_I- 1�l` ��cx �F'� �`'I ��„ � ..�:��.. l `f���`l.(` j�,�•1 'li �`= <br /> �rv ..r!� t c_�r, L �:� <br /> Ownei MailAddress City Stale2ip Fhone <br /> Tenanl Mail Address City State/Zip Phone <br /> � �icV-Vv�..�� � �- �?f��F;i � -�� )1� ���1 (��. ��y � ��� �]l .'. �.;. t�� � � " ���� .:�°��� � ���. ��1� <br /> ElectriCal CoNraclor Mail Address City State/Zip Phone <br /> �� (7� k������� <br /> State License Numher Contract Price of Work <br /> Proposed Use o(Building Conlact Person (Plan Review) <br /> Descriptinn ot Work to Be Done: �� �(; .,A � i'�> , � ;-,_i•.����� c�r� -��� �� �� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROV�D BY THE STATE OF WASI-IINGTON. APPI.ICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHE�f <br /> EDUCATIOPJAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING .N NON-DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACC.:SSIBILITY: ELECTRICAL P.ND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSBLE 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 NJI?HIN <br /> ACCESSIBLE SPACES OR ALONG .�CCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE FEACH <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(GATION AND KNOW THE SAME TO BE Tf7UE AND CORRECL ALL <br /> PFOVISIONS OF LAWS AND OROINANCES GOVEFNING THIS TYPE OF WOFK VJlLL BE COMPLETED WHETHER SPECIFIED HEFEIN OF <br /> NOT, THE GFANi ING OF A PERMIT OOES NOT PRESUM1IE TO GIVE 4UTHORlTY TO VIOLATC-OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> STATE OR LOCAL LAW REGULFlT'INti CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZEG BY THE <br /> 04VNER OF THIS PROP�RTY TO PEFFORM TNE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W17H THc STATE <br /> CONTRACTOflS W 78, i RCW ANO 296.200 WAC. <br /> / <br /> /; � <br /> � �_;; <br /> , > i �.- �—� Cr'�u�O�I FEE ��-� <br /> � � �'7�J .. <br /> Signature � Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> ���/G�'�`� Z <br />