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EL�C11-iICAL PERMIT APNLICATION <br />CITY OF EVERETT PERMIT SERVICES -� .��-ocF1� <br />3200 CEDAR STREET, EVERETT, WA 98201 G OC�/p3–�gd <br />425-257-8810 - FAX 425-257-8857 <br />'_7i �� I�U f I�=� i ��J'• !l,'t' �"( 1 f <br />PROJECT ADDRESS—T <br />Owner <br />Tenanl <br />A1ail Address <br />1.1ai1 AAdress <br />Idail Addiess <br />��NLFlx-/y �I�S' <br />Sta e License Number <br />I'�oposed Use of Building <br />f]escnption al Work to Be Done: <br />GIy <br />City <br />City <br />StateZip <br />StateZip <br />State2:p <br />Coniract Pricc ol Work <br />PhOne <br />Phono <br />3c��j <br />Contact Person (Plan Reviewl <br />Phane <br />NOTE: PLANS 1=0R ELECTRICAL WORK AT EDUCATIONAL. FACILITIES UTILIZING STATE FUNDS MUST BE <br />AF'PROVED BY THE STATE OF WASHINGI'ON. APPLICANTS WITH SUCH JOBS MUiT SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 295•46•140. ALL OTHER <br />EJUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS REOUIRED TO BE IN RACEWAYS. MC OR AC CABLE. <br />HANDICAPPED ACCESSIBI�ITY: ELECTRICAL AND COMMUNICPTIONS SYSTEM RECEPTACLES ON WALLS <br />W ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />c;F 151NCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106�c�2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE A40UNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3�06(bla E 8 F AND NOT LESS THAN 36INCHES ABOVE THE FLOOR. <br />; HEliEB1' CERTIFY ili4T I HAVE FEdD ANC E.IAGIINED TNiS APFL!CA7ION AND HNOW TNE SAhfE TO BE iRUE AND COF7FEC7 ALL <br />r'qOVISIONS OF LA WS AND ORDWANCES GOL'FFN!NG rHIS T1PE OF IYCFK IYILL BE COM1IPLETED tVHETHEA SPEClFIED HEREIN OR <br />Vp7, iHE GRANTING OF A PEFM1"IT DCF.S NOT PFESUAIE 70 GIVE AUTHORITy TC VIOL.ITE OR CANCC-L fHE PFOVISIONS OF ANY 07HEF <br />ST4TF OR LOCAL LA�Y l7EGULATING CONSTRUCTION OF THE PEFFOFM1fANCE OF CONSTqUCTION. 7HA71 AM AUTHOFIZED dY 7HE <br />JtYN[F OF iH15 PROPER7Y TO PEFFOFRI TNE tYCFK FCF WMICH APPLICATION IS MADE AND 1 COAIPLY lN1TH 7HE SiRTE <br />. ;NTF4CTCFSLAVVIA£7FCW.1ND.96..^.00IVAC. <br />DEBIT d CREDIT CARDS ARE NOT ACCEPTED <br />�, � �I FEE <br />=v 1 <br />Date <br />���� �a �� <br />