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APPI_IC�. .'ION F�R ELECTRIC�4� PERIIlIIT <br />C/TYOFEVERETT <br />HU/LD/NG D/V/S/ON <br />3200 CEDAR STREET <br />EVERETT, WA 9B70f <br />(426J 267-B810 <br />��% L� 2 S F Evn rc�rr /�ir ��/.lia V <br />PROJECT ADDRESS <br />Owner MallAddress City SWte21p Phana <br />Tenent <br />State Licensa Number <br />Cf7/�h rnv���riU l <br />Proposed Use of Buildin� <br />9_scription of Work to Be Done: <br />Mali Address <br />M:n Address <br />CHy <br />cIry <br />StatrJZip <br />StatelZip <br />�8�-7Z3 �" <br />Contract rice af Work <br />�c�. 0� C'�1se bvr�/' <br />Contact Person (Plan Review) <br />�hone <br />Phone <br />NOTE: RLANS Fi?^n ELECTRICAL WORK AT EDUGATIO�IAL, Fk@ILIl'IES IITILIZING STATE FUNDS NlUST BE <br />APPROVED @" 1'�iF STATE OF VI�ASHINGTDN. APPUGANTS �NiTH SUCH JOB� M!JS7 SHOW THE ti7A.TE <br />APPROVED PIAMS BEFORE CITI' UF EV'tP,E'fi Pc;iMIT WILL BE ISSUED. WAC 29r3-c�6-140. f�LL OTHER <br />EDUGAYIO�lAL FA�ILITIES AND AL�. H�L.3'h CA�E FP.CILITIFS PLAt�S WILL BE REVIEINED 8Y T�IiS OFFI�E. <br />NOTE: WIRING IN NON-DWF�,.LINvS 1S RFQiJIRED TU BE IN RACEWAYS, MC OR AC CABLE. <br />HAND1CAPPED ACCE&SI91�1T'Y`: �LEGTF?ICAL AND COMMUNICATIONS SYSTEM RECEPTACLEu GN ilSlALL`i: <br />WIT'NIN ACCESSIOLE S:?AC�S OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHP.LL E3E iJIOUNTEp A tdINIM[;M <br />OF 15 INC1iES AEOV� YHE FL4dR. WAC 51-20 BEC. 3106jc)2. <br />ENV�RC�NM�Nl".�L AND OI'HER CONTROL RECEPTACLES AND OTHER OPERABL� ��UIPA.9ENT 411'ITMiN <br />ACCESSRBi�L BpAi:FS O� HLONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE iVIOUNTED WITNIN i HE RE�ACH <br />R9'J;;E� GF �JVAC 3'I-20 SEC. 3168(b)4 E& F AND NOT LESS THAN 36 INCHtS ABOVE THE FLOG�. <br />�_�..--. <br />I Ncu�H✓ GEP.TPFY THAT I HAVE READ AND IXAM/NF.D THIS APPLICATION AND KNOW THE SAME TO B4 rRUE �n��J CUkHE�7 ALL <br />PilOVIS;ON5 OF JIVVS .4ND ORDINANCES GOVERN/NG THIS TYPE OF WORK WILL BE COMPLfTED WHETHER SPcC(F1E�7 HEREU! J4 NG r <br />THE GRANTING UF A PERMIT DOES NOT PRESUME TO GIVE AUTHOftITY TO VIOLATE OR CANCEL THE PR()�/ISIONu Of PNY O i!i�R �^TATE <br />OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSLRUCTION. THAT 1 AM AUTHORIZEr AY i HE Ov1'A'['R OF <br />THIS PROPERTY TO PERFORM THE WORK FOR 417-(iCH APPlJCATION IS MADE AND I COMPLY WITH THE STATE GOldL�'iALTORg Ln;•y 19.2i <br />RCW AND 296.200 WAC. <br />// SlgnaWre <br />EIEGP(NeV til) <br />�---�--- <br />—� .� FEE � 3V �� <br />DaW ` <br />