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,TRICAL PERMIT A�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />£a/ I R.� d��a�/ <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />City <br />� <br />Stete(Zlp <br />� <br />Phone <br />Tenant � Mail Address Ciry StetelZip � b Pho� <br />i f(Y�'� C <br />Mail Address <br />,� � vf �3/S Lt9 <br />State License Number <br />Propased Use of Building <br />Description ol Work to Be Done: <br />/ZG �/ <br />City <br />� <br />State2ip <br />/l.v�o � <br />Conhact Price of Work <br />Phone <br />Z <br />C�'on i�,�i.L�ir� �366� Szo-/7�/. <br />Conlact Person (Plen Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <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 BYTHIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />H.4NDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <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)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHAIL BE MOUNTED WITHIN THt REACH <br />RANGES OF WAC 51•20 SEC. 3106 b)4 E& F AtJD NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT 1 HAVE AEAD AND EXAh11NED 7'HIS APPLICATION AND KNOW THE SAME TO BE TflUE AND CORRECL ALL <br />PROVISIONS OF L4WS AND OROINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW FEGULATING CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COM.PLY WITH TF1E STATE <br />CONTRACTORS LAW 7827 RCW AND 296.200 WAC. - <br />DEBIT & CREOIT CARDS ARE NOT ACCEPTED � d3i a-��� <br />FEE <br />