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�ICAL PERMIT AP�-�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />31 � ��W j1N O[� �u� <br />PROJECT AODRESS <br />Owner <br />Mail ACtlress <br />City <br />State2ip Phone <br />.. A i �' �'� 1 <br />Tenant <br />Mail AdCress <br />Mail <br />� ' 1 1Cl�n <br />Stale Li ense Number <br />�si•�-� " <br />Proposed Use of 8uilding <br />City <br />City <br />Stete/Zip Phone <br />Stete2ip Phone <br />�/� ,.J 6.1 <br />Cantrect Price of Work <br />�� �..w �� <br />Contact Person (Plen R view) <br />Description of Work to Be Done: � �/ �Y ✓ �/9MG� ' <br />^--r <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 HEALTf'. 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 />HANDICAPPED ACCESSIBI�ITY: 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 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 />l HEREBY CEF i lFY THAT I HAVE READ AND EXAMWED THIS APPLlCATION AND KNOW THE SAME TO BE TFUE AN� CORFECL ALL <br />FFGViSIOIJS OF LAWS AND ORDINANGES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIF/ED HEREIN OR <br />fJC i.'HE GRRNT!lJ i OF A PERMIT DOES NOT PRESUME TO �71 VE AUTHORITY TO VIOLATE OR CANCEL TNE PROVISIONS OF ANY OTHER <br />5'F i E GF LCCFL LAW RE6UU7TING CONSTRUCTION OR THEi PERFORMANCE OF CONSTflUCT/ON. THAT 1 AM AUTHORIZED BY THE <br />C'.4NNC!1 GF iHlS PFOPEP.TV TO PERFOFId iHE WORK FOR WHICH i1PPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />�:':7F.A C i OFS l.AV✓ 7827 RCW AfJD 296200 WAC. <br />DEBIT & CREDIT CARDS ARE'NOT ACCEPTED <br />FEE <br />C`��''-�3 % <br />� <br />