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� ELECT� .ICAL PERMIT API- �ICATION � <br /> , CITY OF EVERETT PERMIT SERVICES � � a ` qo ) i <br /> ��� 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 � <br /> Z623 �e�-�o � 1���. <br /> PROJECT ADDRESS <br /> — �� EIL f1U.0 in Z�Z3 W Q�Ort. /"FVC� / Q�� �. � lF I C)�,� <br /> Owner M11ail,�dtlress Ciry State2� <br /> P PhGnc <br /> �a�.e— 4Z5- 6�f�t- 2�77 <br /> Tenant � Idail Adtlress Gty State2� <br /> P Phone <br /> SE �7 <br /> Electncal Cor.irattor A1ail Adtlress Clty �State2ip Phone <br /> Stale License Number - 2�v� <br /> Contract Price ot Work <br /> �ak�o �„ �inn <br /> Proposed Use of Buddmy ConWct Person (Plan Review) <br /> Descriplion d VJark to Be Done: /�I-}�r e� �G C7 � � {-�' ��f�/I o ��� C c�Gl�'�S `�p� <br /> _m�sc. P� v � P. <br /> NOTE: PLANS FOR ELECTRICAL WOFiK AT EDUCATIONAL, FACILITIES UTIUZING STATE FUNDS MUST 8E <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOSN THE STATE <br /> APPROVED PLANS BEFORE CITY OF EV[RETT PERMIT WILL BE ISSUED. WAC 296-46-'40. ALL OTHER <br /> EUUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANj W ILL BE REVIEW ED E'iY THIS OFFICE. <br /> NOTE: WIFING IN NUN-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OF AC CABLE. <br /> HANDICAPFED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYS?CM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE AOUTES OF TAAVEL SHA�L BE MOUNTED A MINIMUh1 <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONh4�NTAL AIVD"OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIELE 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 FLOnR. <br /> 1 HErL1�y C�FTIFY THAT I HAVE FEA� AND EA'Ah1/NED 7HIS AFPUCATlON AND KNOIY TNF SAh1E TO BE TFUE AND COFFECT ALL <br /> FFOVISlGVS OF Li1V5 Ah'D OFDINANCES GOVEF�\'ING THIS TYPE OF WCFK WI�L BE COMFLETED WHEtHER SPEGFIED HEFEIN OF <br /> N07, 7HE GFANTING OF A PEFhf1T DOES NOT PFESUM1fE TO GIVE AUTHCFITY 70 67CL1 TE OA CANCC-L THE PROVISlONS OF ANY OTHEn' <br /> SiATc' OF CCC4L LAW .SEuUL771NG CON5TF(.'CTION OR THE PEi;FOFhiANCE OF CONSTFUCTIOfJ. THAT I AM AUTHOFIZEO D1' THE <br /> 01YNES OF 7HIS PFOPER7Y TO PEFFOR7d TH[ IVCFK FOF VJHlCH APPLICATION IS h}qDE AfJD I COM1fPLY WITH THE STATE <br /> GON iFAC�i:FS LAW i7727 FC 64 AND 296200 WAC. <br /> /� Vo%�— I�2��4 FEE � 9 Z . O O <br /> Signa.ure � Date <br /> EL:CAPIFEVo:�Ot) LC��L�I ��L� l <br />