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Occ 18 OS 02:21p STEVE VARnELL 425-335-7830 p.3 <br />� � <br />ELECT!�ICAL PERiVIiT /�PPLICAT10lN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDFlR STREET, EV�RETT, WA 98201 <br />425-�57-8810 - FAX 425-257-8857 <br />�339_� ��- �Vw G,/ _ <br />PROJECT AD�FESS <br />�. _ �/ i.i:/✓,. Qt� Rnv /l1� �YLL� <br />OWf18( <br />Tonant <br />Mail Address <br />Mali Addm�s <br />Contrador Ma�i naarnss <br />�UIM�M�n/��-�-�79 �G <br />Stato Liccnae Number <br />S �2 <br />Proposed Uso o( Ouddirx� <br />Giiy <br />Cily <br />N� �u 5 <br />ciry <br />�� <br />Slale2ip <br />State7Lip <br />��. Y <br />S4�Ie(Zip <br />�t�Boo. �" <br />Cc�tract Pnce ot Work <br />Contacl Persan {Plan Review) <br />Phono <br />Phono <br />3 3Sy <br />_—. <br />Phme <br />Dasaiptlon of Work lo Be Done: _�� 6� S� {�'� 7�� ��'.�%�"� �✓l � _— <br />NO7E: PLANS FOR ELECTRICAL WORK A7 EDUCATIOiJAL, FAClLITIES UTILIZING STATE FUNDS MUST 8E <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE S7ATE <br />APPAOVED PLANS BEFOR[ CITY OF [VERE'1'f PERP�IT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED 70 BE lN RACE`WAYS, MC OR AC GABI�. <br />HANDICAPPED AGGESSIBILITY: ELECTRICAL AN� COMMUNICA710N5 SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SP��GES OR ALONG ACCESSIBLE ROUTES OF TFiAVEL SHALL BE MOUN7ED A MINIMUM <br />OF 15 INCHES A40VE THE FLOOR. WAC 51-20 SEC. 3106�C)2. <br />ENVIRONMENTA� AND OTHER CONTAOL RECEPTACLES AND OTHER OPERABLE E�UIPMENT �NITHIN <br />RANGESI OF WAC 5E 20 SEC.�N 6(b)4CE & F� AND NOT �ESS THAN 36 INCHES A80 E THE �LOOF IN THE pEACH <br />_...__...._ <br />! HEREBY CERT/FV 7HAT 1 HAVE READ AND EXAAfINED THIS At <br />PROVIS10N5 OF IAWS AND JRDINANCES GOVEANlNC YHfS TYF <br />NOT. 7HE GRAMING OF A PEflrdlT DOES N07 PRESUML- TC� GfVE <br />S7A� OR LOCAL LAW REGUTATING CONS7RUCTION OR 7HE P <br />OWNER OF THIS aAOPERTY TO PERFORId 7HE WORIf FOR <br />CONTRACfORS LAW 78.27 RCW AND 29G.2C0 WAG, <br />AND KNOW YHE SAME TO BE 7RUE ANO COAREC7 ALL <br />'�C WlLL BE COMPLEYED WHElHER SPECIFlED NEREIN OA <br />' TO VIOLA7E OR CANCEL THE PHOVlSIONS �F ANY 07HER <br />CE OF CONS7FUCT10N. 7HAT ! AM AUTHOR/Zc0 BY THE <br />Pucarioro rs h!ADE AND I COMpLY W�TH THE S7ATE <br />Sipnalure �1O <br />DEBIT & CREDIT CARDS AAE NOT ACCEPTED <br />FEE <br />J �O �-��) C? <br />