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PERMIT <br />LICATION <br />� OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Owner Mau nadress ���v ����a"r • •'-"- <br />Tenant <br />Mail Address <br />t <br />Mail <br />f��E�'/'� % �4C1 /4� - <br />�State License Number <br />�� <br />Proposed U�e of 8uilding <br />Description of Work to Be Done: <br />City <br />City <br />State/Zip <br />State2ip <br />Contrac��f Work <br />Contact Person (Plan Review) <br />Phona <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORI: AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />.4PPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WIL� BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AP�D COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />W ITHIN 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 OTHEFl CONTROL RECEP7ACLES AND OTrIER OPERABLE EQUIPMENT V'JITHIN <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 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINEQ THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND COFFECT. ALL <br />PROVISIONS OF LAWS AND GRDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COh1Pl.ETED WHETH::R SPECIFIED HEfiEIN OF <br />NOT, THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZEIJ BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TF1E STATE <br />CONTRACTORS L4W 18.27 FCW AND 296.200 WAC. � <br />Signature <br />DE81T & CREDIT CARDS ARE NOT ACCEPTED <br />ua�e <br />�C� �b �--a�a �/ <br />FEE <br />