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�LECI r�ICAL PE�;MlT APrLICAT�d�I <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C:EDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - {=AX 425-257-$857 <br />�S�'� %iCv � J�'�' - <br />PROJECT ADDRESS <br />. . - .. . . �. ! <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />� <br />Cliy <br />City <br />vC i �i ; Cc�l�• . <br />State/Zip <br />State2ip <br />" ; = �S <br />Phone <br />Phone <br />�.. <br />� 1..��,.,.cK ���cl��^�c 7F�c Mry•• �[J -Sq[-%Jl'n�7�Sl .Cc�fi-icF.'-�'C� '�G��-�%%-C'r�.:y <br />FIer.Uical Cortractor Mail Addres° rity StatelZip Phone <br />C 6. 1 v. M t'__t�J' C� � 7- �� r _ <br />Stale License �lumber <br />K�";rn�� .,�p. <br />Propased Use of Building <br />���5� ��^ r� <br />Contract P�ice ollhbrk <br />Contac� Person (Plan Revie+v) <br />Description of Work to Be Done: �� ( e b� �r �- c,� i c r - � l�' �: �- r.,.l r- ( o �:2C'� f� �� ��' (' ����'�a� <br />NOTE: PLANS FOR ELEGTRICAL WORK AT EDUCATIONAL, FACILITIES UTILI7_ING STATE FUNDS MUST f3E <br />APPROVrD BY THE STATE OF WAjHINGTON. APPLICANTS WITH SUCH JOB,�'i I�AUST SnOW THE STATE <br />APPROV[D PLANS BEFCRE CI'iY OF EVERETT PERM:T WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EGUCATIONAL FACILITIES AND ALL NEALTH CARc FAC�LITIES PLANS W ILL BE REVIEWED BY THIS OF'rICE. <br />NOTF: W IR!NG IN NON•DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR %+C CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSicM RECEPlACLES ON WALLS <br />WITHIN P,CCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MIN'��IUM <br />OF 15 INGHES ABOVE TNE FLOOR. WAC 51•20 SEC. 3106(c)2. <br />ENVIRO�:MENTAI_ AND OTHER CONTROL RECFPTACLES AND OTHER OPERABLE E�UIPMENT WIiHIN <br />RANGESIOF WAC 5E 20 S C O3N 6(b)4CE & FI AND NOTTL S9 TrIAN 36LINCHES AE30V�E THE F OOF IN THE REACH <br />I NERE6Y CERTIFY THAT I HAVE READ AND EXAM1IINED THIS APPLICATION AND KNOW THE SAh1E TO BE TRUE AND CORFEC7 ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHET4ER SPEGFIED HEREIN OR <br />NOL THE GRANTING OF A°EFMIT DOES NOT PFESUM1IE 70 GIVE AUTHOFITY TO VIDLATE OR CANCEL ?HE PROVISIONS OF ANY OTHER <br />STA7F OF LOCAL LAW REGULATING CONSYRUCTION OR THE PERFOFMANCE 0� CONSTn^UCIION. 7HAT 1 AM AUTHORIZED B1' THE <br />OWNEA OF THIS PROPERTY TO PEFFOFM THE lYOAK FOF INHICH APPUCATION IS A1P.DE AND 1 COMPLY WITH THE STATC- <br />CONTRACTORS LAW 7827 FCW AND 2; 6200 11'AC. <br />— r/ '_'t_ <br />� G�.�) �l C.J�rvI CY.%_� <br />—1 <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Oate <br />�' `(� � �i.T� � � <br />FEE <br />