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CLEC� �iICAL PERIVIIT AP��ICATION <br /> CITY OF EVERETT PERMIT S�RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �,G�o� 1 b t�� a,�, ��1� � ��I <br /> PROJECT ADDRESS <br /> C�I d C��.�::1.� <br /> OwnO� Mail Address City State(Zip Phona <br /> Tenant Mail Address City State2ip Phone <br /> `�1N\Eisc�-;� Zyl (o Pitsrs� F�rl . l..'�-�—��FLaI ZSZ-���i� <br /> Eleclrical ConlraCtor Mail Address City State/Zip Phone <br /> �CuL1 E L�[ �n-�(r�� �[�'o'� �`� <br /> State License Number Contracl Price o(Work <br /> S�2 <br /> Proposed Usa o(Building Con�act Person (Plan Review) <br /> Description o(Work to Be Done: ��� ��C �C'-�ri� �c'� \� ��'L Zpl� �— <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 8E <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELL:NGS I5 REQUIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br /> I HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WP.LLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINI�4UM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONNIENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> RANGES OF N1AC 57-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES AdOVE THE FLOOR. <br /> 1 HEAEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICAT/ON AND KNOW THE SAME TO BE TFUE AND COFFECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK INILL BE COMPLETED WHETHER SPEC!FIED HEFEIN OR <br /> NOT, 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE FERFORMANCE OF CONSTFUCT!ON. THAT 1 AM AUTHOR/ZE� BY THE <br /> OWNER OF THIS PROPERTY TO PERFORI�I THE WORK FOR WHICH APPLICAT/ON IS MADE ANO 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 290"200 WAC. <br /> '��+-..,.��s.�� �N`u7��i I" I LI��`( FEE [��. Cd <br /> .7J <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �� `I(�I� � 38 <br />