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ELF_CT��tICAL PERMIT AP� I.I�ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3?00 CEDAR STREET, EVE!�ETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� O.`i ��un� � /-� �r� <br />s <br />PROJECT ADDFiESS <br />�J n ln �� �S� l, a_r:__�-� S� bvrt-��. o� .� �%C,2 C/ �'�Cl � _r� ��1- 1'7 /� <br />Owner MailAddress City State2ip Phone <br />Tenant <br />Mail Address <br />ConlraClor Mail Address <br />L�Y��/<s��r2 �(� <br />Slate License Number <br />�r�i d.rMe� <br />Proposed Use o� Building <br />City <br />City <br />Slate2ip <br />StatelLip <br />Contracl Price of Work <br />Phone <br />Contacl Person (Plan ReviewJ J <br />Description of Work to Be Dane: + y� tl? ��. .{ �a �,.� r.�� ' <br />-0 <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 :�HO�;� TiiE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-4@�140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CAHLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON NIALLS <br />WITHIN ACCESSIBLE SPP.CES 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 />CNVIRONMENTAL AND OTHER CONTROL RECEPTACI_ES AND OTHER OPERABLE EQUIPMENT 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 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE rRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS .7N0 OADINANCES GOVEFMNG THIS TVPE OF WORK WICL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NC7, THE GRANTING OF A PERMIT DOES NOT PAESUM14E TO GIVE AUTHORI'fY TQ VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br />STATE OF LOCAL LAW REGULATING CONSTRUCrION OF THE PEFFORM1IANCE OF CONSTRUCTION. TNAT 1 AM AUTHOqIZED BY THE <br />CLVNER OF 'HIS PROPEATY 70 PEFFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />_ �' �' � <br />Signature / ❑�te <br />DEBIT & CREDIT CARD ARE NOT ACCEPTED Ea1.0� -o3Z <br />FEE � � � <br />