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APPLICATION FOR ELECTRICAL PERMIT <br /> f ` <br /> GTY OF EVERETT � <br /> BUILDING DIVISION <br /> 3200 CEDAF STREET <br /> EVERETT, WA 98207 <br /> (425J 257-88f0 <br /> PROJECT ADDRESS <br /> 3327 Co�av /IVENUE _ <br /> Ownef Mail Address Cily Slate2ip Phose <br /> DR . MIKE TJOELKER 33Z� COLPY AVENUE EVERETTi WA 9HZO1 259-0049 <br /> Tenant MailAddress �dY S�a�efLiP P��� <br /> ElectricaiConlraclor MailAddress Ciry Slale2ip Phone <br /> EYLANDER SALES 8 SERVICE INC $QOO.00 <br /> Stale License Number Contrect Price ol Work <br /> EY-LA-N S S1421P <br /> Proposed Use of Building <br /> Description of Work to Be Done: <br /> RUN DEDICATED 12OV LINE FOR COMPUTER CIRCUIT _ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> STATE PPROVED PLANS BEFORE CETY OF EVERETT PERM TPWILL BE I SIUEDS WAC 96 46-jqpT SHOW THE <br /> NOTE: WiRING IN NON-DWELI.INGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITY: EIECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OFT SI WCHES ABOVE THAE FLOORA WAC 1 20 SECB3 06(c)2.ES OF TRAVEL SHALL BE �.��UNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC SE 20 SEC.�3N06()4 E 8 F AND NOT LESS HAN 36 NCHES ABOVE THE F,LOORN THE REACH <br /> 1 HEREBY CERfIFY THAT I FIAVE READ AND EXAMfNED THIS APPLlCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND OROINANCES GOVERNING THIS TYPE OF WORH WILL BE COMPlETEO WHETHER SPECIFlED HEREIN OR NOT, <br /> THE GR.INTING OF A PERMIT DOC-S NOT PRESUME TO GIVE AUiHORITY TO VIOLA TE OR CANCEI THE PROVISIONS OF ANY OTHER STATE <br /> T�HIS PROPER�R OGPERFORM1I.THE WORK FOR WHICH AEPLICATION S MADE AND I COMPLY WITH THE ATATE CON RACTORS LA W 8.�27 <br /> PGW AND 296.200 WAC. <br /> Q��.�.�.- dQ� � � ay � fEE 39..sa <br /> Signature Dale <br /> ///��1/ EifCM�n'���I <br /> lJ <br />