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ELECI r�ICAL PERMIT AP�r'LIC14TION <br /> CITY OF �CVERETT PERMIT SERVICES <br /> a r 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425•257-8857 <br /> ,�' �,r l ( L`'`'�, <br /> L ( ll �� SC L�c��� <br /> PR JECT A DRESS 1 / �� ��� ��S� <br /> ( � � n U �/t� Cf C (.t <br /> OW�9f Mall Addrees City S�ete2lp Phone <br /> Tenant � Mell Addiess City Slcle2ip Phone <br /> "' c�;� � -1.� G <br /> = -v � <br /> Ele cal Canlractor Mall Addreas Ciry SfeteZp Phaae <br /> ss� 2 c. <br /> State LI ense Number Contrect Pnce of Work <br /> Proposed Use of 6W�ding� Contect Person (Plan Review) <br /> Deacrlptlon ol Work lo Be Done: ��L'� Q U P.l �1'�' � v '�J�Ul G� l� ���k� <br /> (/ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILI2ING STATE FUNDS 1�1UST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUC�ATIONAL FACILBITIE�S AND ALL H�EALTH CA E FACILITIESIPLA S WSLL E REV EWED BY THIS OFFI ETHER <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 WALLS <br /> OF 15I NCHES ABOVE THE FLOOR.AWAC 51�-20 SEC 3106(�p TES OF TRAVFL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AtJD OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�N 6(b)4CE & FI AND OT E SS THAN 36LINCHES A�OV�EU HE �LOOR�N THE REACH <br /> I HEFEBY CERTIFY THA7 1 HAVE FEAC AND EXAMINEO 7HI5 APPUCATICN ANG h'NOW TH[ SAME TO BE 7RUE AND CORFECT ALL <br /> PpOVISIONS OF LA WS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WME7HER SPEpF1ED MEREIN OR <br /> NOT, 7HE GAANTING OF A PFFMIT OOES N07 PRESUA:E TO GIVE AUTHORITI-TO VIOUTE OR CANCEL THE PROVIS�ONS OF ANY OTHEF <br /> STATE OFi LOCAL LAW FEGULATINia CONSTRUCiION OR THE PEfiFJRM1fANCE OF CONSiFUCTION THAT 1 AM AUTHOFIIED BY TME <br /> OWNER OF THIS PFOPERTY TO PERFOliM THf WORK FOr� WMICM APPLICATION IS MADE ANO I COMPLY W17H THE STA7E <br /> CONTRACTOFS UW i 8.27 RCW ANO 296.200 WAC. <br /> > FEE �� <br /> G' .w '� CL z. <br /> Signeture Dete <br /> Eoao3-o�9 <br /> ELECAP�NEV fi200q <br />