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i <br /> ' �LECTIRICAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257•8857 <br /> 1 t� lr l,i ll w ���r <br /> PROJECT DDRESS � <br /> , ..- ,��t �., ,s� 3 .3C�-R9y� <br /> Owner Mall Addresf Ciry Slatc2ip P�� <br /> Tenant Meil Addraes Ciry StatelZip P�^e <br /> S 0 �� - . . <br /> Elect' oniractor MeUAdarees �nY 5����P P�10"° <br /> k�.y�.� K ss iy� � P <br /> State Lkenae Number Contrect Price ol Work <br /> �Y,ti,. �y,�f„ a s./ J4_w r.�r r O <br /> Proposed Uae ol 8 ding Contacl Pers�n (Plan Review) <br /> Deacriptlon ol Work lo Be Done: <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 /> EDUCATIONAL FACILIT ES AND A'.L HEALTH CARE FACILITI SIPLANS WILL E REVIEW[D 6Y THIS OFFICETHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WA�LS <br /> OF 1b NCHES ABO E THECFLOOR.AWAC 51�-20 SEC 31p6(02 TES OF TRAVEL SHALL f' ti10UNTED A MINIMUM <br /> ENVIRONMENTAL AND'"OTHER CONTROL RECEPTACIES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES'OF WAC 5E 20 SEC.9N06(b)4CE 8 F A DR OTT�SS THAN 36LI CHES ABO'EUTHE �OOR�N THE REACH <br /> I NEREBY CERTIFY THAT I HAVE HEAD ANO EXAMINED 7HI5 APPLICATION ANO KNOW TNE SAME TO BE TRUE ANO CORRECT ALL <br /> PqOI'ISIONS OF UWS AND OROINANCES GOVERNINO THIS TYPE OF WONK WILL BE COMPLETED WHETHER fiPECIFIED HEHEIN OH <br /> NOT, THE GMNTING OF A PERMIT DOES NOT PRESUME TO GIYE AUTHORITY TC7 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTMER <br /> STATE OR LOCAL LAW FEGUUTING CONS7RUCTION OF THE PERFOHMANCE OF CONSTRUCTION. THAT 1 AM AUTHOHIZED 6Y THE <br /> OWNER OF THIS PROPER7Y TO PERFORM THE WOHK FJF WMICH APPLICATION IS MADE ANO I COMPLY WITM THE STATE <br /> CONTRACTOr75 UW I8.27 HCW AND 296200 WAC <br /> � FEE � �� <br /> � Siqneture ; Den_ ��/'.1—�/� <br /> ELECAP�REV YlWi) � <br />