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p,PPLIC: i ION FOR ELECTRIC�� PERMIT <br /> CITYOFEVERETT <br /> BUILD/NGOlV/S/ON <br /> 3200 CEDAR STREET <br /> EVERETT, WA DQ20! <br /> (�16J 267-QB>0 <br /> , �0 �A.9 it/� - Lv�- l� <br /> PROJECT ADDRESS Q.(�. �vri ��1 I <br /> ..— /� p Wv 9Ko3'� "]3�—��5 <br /> �n ���SaJ \ S— L7r w 7 �_�h�wor.�V Plwne <br /> Owner <br /> Msll Addrcas C SlelelZip <br /> J � <br /> Tenant <br /> Mail Addrcas Cily Stale2ip P�° <br /> �—I64-,�r-�a✓ � S l I 1 �P"7'O�Se �x%�ovv.�'�-. 1,UA Q�Z 9 � �'30 904'� <br /> EleCtricelContredor NIdlAddrccs <br /> �� Stete/Zip Ph°^e <br /> ..�f�-✓���e v �� "1�t�— ""Z o�� <br /> Cor.tract Price o1 Work <br /> Stat License Number <br /> �� �e �� — S � r� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> � Z-� A � � � 4.l£.�yT, ,�.=,_,---� �„--��__ <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 /> EDUCATIONA FACILBIT ES AN�A.LL HEA THRCARE ACILITIES PLANS WILL BE REV EWED BY THIS OFF CE.ER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 1 b NCHES A OLVE THE FLOORA WAC 1 20 SEC83E06(c)2.ES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC SE 20 SEC.9N 6(b)4 E&SF AND NOT LESS THAN 35 N HES ABOVE THE PLVOORN THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TR�%E AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEC7FIED HEREIN OR NOi, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLA7E OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> THIS PROPE TYR OGPERFORM THE WORK FOR WHICH APPUCA�ON IS MADE ANDR C�OMPLY WITH THE STATE CONTRAC ORS WER8.21 <br /> RC W AND 286.200 WAC. <br /> � n FEE ,c' � �j <br /> � �� <br /> Signa ure Date <br /> �E���.�, � ao� � <br />