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APPLIG. .TION FOR ELECTRIC. :. PERMIT <br /> CITYOFEVERETT <br /> BUILDlA��30/V/S/ON <br /> J2.^.��C,'OAR STREET <br /> EYERE;T, WA 8B?Of <br /> (416/?67-B8f0 <br /> �/ ZS �A CAS ��w Rp <br /> PROJECT ADDRESS <br /> � Mall AtlEress Clly SlalalZip Phona <br /> DVYllef <br /> Tenant <br /> Mail Addnt� CMy SUla21p P� <br /> �,� )� D�-JIU� 1= �_r �.�'� 1 ( _ J �o`/ .�o (o�)� /a✓1: ,(„J � yN�//i�.�9 c✓�. <br /> Eleddcel Contrector <br /> FMiI Addrest Ciry StaldLp P� <br /> �-� � � � � � } � Z � � � Canlrect Pdce of Work <br /> Slate Licence Number <br /> Propoaed Use of Buildlnp Contact Person (Pian Review) <br /> Deacripllon of Work lo Be Done: <br /> �nJ S c�u- T I .� ,-� ,� c �2 �..�r -�i2 <br /> v / S � � � <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 /> EDUCA IONA FACILBITIES AND ALL HEl�TH C RE FACIL TIES PLANS WILL BE REV EWED BY THIS OFF CE.ER <br /> NOTE: WIRING IN NON-DWELLINGS IS RCQUIRED TO BE IN RP.CEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTItICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 1S NCHES ABOVE THE FLOORA WAC 1 20 SEC, 3EOBO�UZ ES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPCRABLE E�UIPMENT WITHIN <br /> RANGESI OF WAC SE 20 SEC.81 8(b)4 E 8 F AND NOT LESS THAN 36 N HES A OVE THEDF1LOORN THE REACH <br /> I HEREBY CERiIFY THAT 1 HAVE FEAD AND EXAhIINED THIS APPLICATiON AND HNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> THE GRANiING OF A PERMI�DOES NOT PRESUME'f0 GIVE AU7HOR1�70KV 0'LA E OR CANCEL�HE PROV S ONS OF ANY OTHER S A�E <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR 7f IE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE OWNER 0� <br /> THIS PROPERTY TO PERFOPM THE WORN FOR WNIGH APPUCATION IS MADE AND 1 COMPLY WI il'THE STATE CONTRACTORS LA W iB.47 <br /> RCW AND 2i6.200 WAC. <br /> n � <br /> / � L z �� , FEE <br /> t �� <br /> Slpnature Dale <br /> - � o���- oa.� <br /> �"�.ncunen�a� <br /> �, �� <br /> L <br />