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�LF_C�'�.iCAL PERMIT APa �ICATiQN <br />CITY QF EVFRETT P�RMlT SERVICES <br />3200 CED,4R STREET, EVERETT, VVA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />i ���' ij `�r�i}� ti0� �L�2u"-2'-i� "��o[L% j <br />� <br />PRCIJECT ADp RESS <br />i � ��. �r-- /��r�`. ����/ %v�r�Tr+�,��s � 4��`0 ��r�r-�k <br />C��:ner <br />Ter.ant <br />Mail Address <br />Mail Address <br />Cily <br />City <br />w� <br />� � �e'i{ ��I �� <br />State2ip <br />State2ip <br />Phcr,c <br />Phone <br />��>Iv�ii'Jc��.-tr IfIII `�c�`k4��N� �.fC,s�evev�S �,���t -r('�5���� vzs ����-iG$a <br />Eb:ctrical ContraClof Mail Addmss City Slate2ip Phone <br />�����,-;���.:�� ��,��= <br />State License Number <br />rupased Usc o� E3uildirg <br />� r.o <br />���t <br />CoMract Price of Work <br />Contacl Person (Plan Review) <br />Description ol Work to Be Done: �(Z�1 C�� C���M+N� l� %�+hJ U�� �U �- `'c' � �-�_ �(�J <br />,,...0 `1-.... , n�. c-.�.... 1N�,`�; ��.ti� L�o �0 .� � PiC' IQ-`� i<lr\ i Y��� :�_('`� ' M1l-��L'1, J r� C=4 <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDI;CATIONAL, FACII_ITIES UTILIZING STATE FUNDS MUST BE <br />APPRUVED BY THE STATE OF WASHWGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHEn <br />EDUCATIONAL FACILITIES AND ALL HF_ALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON VdALLS <br />W� HIN HCCESSIBLE SPACES OR ALONG ACCESSBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUhi <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 SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HERE9Y CERTIFY THAT I HAVE READ AND EXAhfINED THIS APPLICATION AND KNGW THE SAh1E TO 9E TRUE ANO CORRECL ALL <br />�i-�OVISIONS CF LA WS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WlLC BE COMPLFTED WHETHEA SPECIFIED HEREIN OR <br />NOT. THE GFANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRCVISIONS OF ANY O'fHEF <br />�TATE OF LOCAL LAW REGULATING CONSTFUCTION OR THE PERFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY Thc <br />O','.NEH OF THIS PROPERTY TO PERFOfllLt THE WORK FOR WHICH APPLICATION 1S l.?ADE AND I COMPLY WITH THE STAiE <br />CCNTFACTORS LAW 78.27 RCW AND 296200 WAC. <br />Signature Date <br />FEE � <br />DE�:l; & CREDIT CARDS ARE NOT ACCEPTED �p�{ G4 - c S Z <br />