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APPLI�Cd` <br />ClTY Of EVERETT <br />BUILO/NG D/V/S/ON <br />8100 CEDAR STREET <br />EVERETT, WA 8B20! <br />(425f 2S7-BB10 <br />PROJECT ADDRESS <br />� �,.�5 C'IA�'v� <br />�ION FOR <br />ELECTRICA�� <br />t <br />PERMIT <br />Pha�e <br />{ JZ ����Yvl J `� - \1 `` <br />Tenant l�IlAddrMa City Shte2iP PhoM <br />. \ � r.o,r� , � . � lu �-:�, a-- �� <<� �1 `l �-1�'4, .�a-, �� 1�}� C �e,.,�-C a6 .�.:r� Hs s - <br />Mail Addnss <br />of <br />Description of Work to Be Done: <br />� /� � GO <br />� ontract Price oi Work <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILI7IES UTILIZING STATE FUNDS MUST <br />APPROVED BY TNE STATE OF WASHINGTON. APFLICANTS WITH SUCH JOBS MUST SHOW THE ST. <br />EDUCAT ONA FACILBIT ES ANDIALL HEA TH C RE FACILITIES PLANS WILL BE REV EINED BY THIS OFF CEt <br />NOTF: WIRING IN NON-D\NELLINGS IS REQUIRED TO BE IV RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLEB ON WA <br />OF�18� NCHES ABOVE THE ELOORA WAC 51 20 SECg3�06(�c)2. ES OF TRAVEL SHALL BE NiOUNTED A MINIh <br />ENVIRONMENTAI_ AND OTIiER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WI7 <br />RANGESI OF WAC SE 20 SE� �3t108(b)4 E&SF AND NOT LESS HRAN 38 WCHES ABdVE THE F OORN THE REr <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED <br />PROVISlONS OF LAW3 AND ORDINANCES GOVERNING TF <br />THE GRANT/NG OF A PERMfT DOES NOT PRESUME TO GI <br />OR LOCAL LAW REGULATING CONSTRUCTION OR THE PI <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH Ai <br />RC W AND 29d.200 WAC. <br />C <br />Signature Date E�� g—G7� <br />FEE <br />