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f=LECi �{I�,AL PERI�IY APrLICAI"IQN <br />CITY OF EV�RETT PERMIT SERVICES <br />3200 CEDAR STRE�T, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />���' i � /��/ ,�,�P , G� , rc-U�,�e� <br />PROJECT ADCfiESS r / ^� <br />�' l^/�:L_ �U` �F-���I �okn�...�18� �iJa �f}'ri0 �5�i"�O�b <br />Owner <br />Tenant <br />Maii Address <br />Mail Address <br />City <br />Ciry <br />�Eleclrica Contractor P,1ai1 Acdress ���Y <br />�� ��( <br />State icense Number <br />Proposed Use of Building <br />Description ot Work tu Be Done: <br />State/"Lip <br />Slate2ip <br />� <br />State/Zip <br />Conlract Price o('Nork <br />Contacl Person (Plan Revieca) <br />/ <br />d <br />Phone <br />Fhone <br />p � a�t�, <br />Phane <br />NOTE: PLANS FGR ELECTRICAL WORK AT EDUCATIONAL, FACIUTIES 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 WILI_ BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OrFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REGUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUIVICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE RGUTES OF TRAVEL SHALL E3E PAOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(0)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER UPERABLE EGUIPMENT WITHIN <br />ACCESSIBLG SPACES OR ALONG ACCESSIBLE ROUTES OF TI?A:�EL 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 />1 HEREBY CEATIFY THAT I NAVE READ AND EXAMINED THIS APPLICATION ANC I<NOW THE SAh1E TO BE TRUE AND CORRECL ALL <br />PnOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS rYPE OF Lb�ORK WIIL BE COMPLETED WHETHEH SPEGF�EO NEREIN OR <br />NOT, THE GRANTING GF A PERMIT DOES NOT PRESUAfE TO GIVE AUTHORITY 70 VIOL4TE OF CANCEL TNE PROVISIONS OF ANV OTHEF <br />STATE OR LOCAL L.iIN FEGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTFUCTION. THAT I AM AUTHOAIZED HY 7HE <br />OWIJER OF THIS PROPEHT� TO PERFORM THE Pl'OFK FOA WHICH APPL!CATION IS PAADE AND 1 COiAPLY 4VITH THF STATE <br />CONTRACTORS LAW ifl27 P,�'W AND 296.200 W.'vC. <br />SignaWre <br />/ <br />� t �A FEE �� � <br />Date <br />�EBIT & CREDIT CARDS ARE NOT ACCEPTED �cya5� Gy `'� <br />