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EL�CT� JCAL PERMI�' ApF �ICATIO� <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> Gl >C�C� I � f`` l�u' t,��a.--�-- <br /> PROJECT ADDRESS <br /> Cr l�l ( v�e..�` <br /> Owner Mail Adoresc City State2ip Phone <br /> Tenant hlail Address City State2ip Phone <br /> �L��1 �«�;�,t_�: "� h� W r�.�c C��. � "Z,�Z.�-� zl'o-1 <br /> Elecirical Contractor Maii Address City State2ip Phone <br /> I�f� 1�L�'L [X � ��c-�' 1 �!"�JL�2.> ,�,� <br /> State License Number Contract Price ot Work <br /> �� I� <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Descriplion of Work�o Be Dcne: 2 i`L)� �a.a �I'��� t/'P 51(�e.....L . <br /> NOTE: PLANS FOR ELECTRICAL WORK Al' EDUCATIONAI_, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APFROVED BY THE STATE OF WASHIIJGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE Cll"Y OF EVERETT PERMIT V✓ILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CF,RE FACILITIFS PLANS W ILL BE RF_VIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN HACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRIGAI_ AND JOMMUNICATIONS SYSTFA4 RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR NLONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE �v10UNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERA6LE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALOiVG ACCESSIBLE ROUTE'S OF TRAVEL SHALI. BE MOI�NTED WITHIN THE REA(;H <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOGR. <br /> I HEREBY CERTIFY TNAT 1 HAVE FEAO ANU E.YAh11NED 7HIS APFLICATION AND KPJOW THE SAME TO BE TRUE AND COFRECL ALL <br /> PFOVISIONS OF LAWS AND OFDINANCES GOVEANIPJG THIS TYPE OF WOFK WILL dE CUM1IPLETED WHETHcR SPEGFIED HEFciN OR <br /> NOT, 7NE GRANTlNG OF A PEAhiIT D�ES NOT PRESU�dE TO GIVE AU7HOrITY TO VIOlATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> S7A7E OR LOCAL G1W REGULATING CONSTRUCTION OR rHE PERFL'RAIANCE OF CONSTAUCTION. THAT I Ah4 AUTHGRIZEU BY THE <br /> O'v1'NER OF THIS PROPER7� TO PEFF0.4W THE l:'ORK FOF iNHICH APPLICA710N IS fv1ADE AND 1 COM1IPLY WITH THE STATE <br /> CON7RACTORS LAW 1827 FCW AND 296.200 WAC. <br /> �T,�_ �1� L� 'L`-C�_L 1-I. Z _C/�. FEE <br /> �l, <br /> S'�gna W re Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED , <br /> ca y��y - �"� � <br />