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APPLIC� 'ION FOR ELEC�'RiC� _ PERMIT <br />CITY OF EVERETT <br />BUlL D/NG O/VlSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425J 257-88�0 <br />� 1 b�-l-a � <br />= j J C 1'C � <br />PROJECT ADDRESS <br />1�h�cr'� (�nrurS7lc� 2v,U �JK.+I�L$1 <br />OWnef Mali Address City <br />Tenant <br />State License Number <br />Mail Address <br />Mail Address <br />< �, � i �p aa� � <br />Proposed Use uf Buildmg <br />Description of Work to Be Done: <br />City <br />City <br />Stale2ip <br />s[a�eiup <br />� <br />Phon: <br />' �500 _ <br />Contract P ice of Work <br />Contact Person (Plan Review) <br />� <br />NOTE: PIANS 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 />E�UC�ATIONAL FACILBITIE AND ALL�HEA TFiR ARE FACIL TIESLPL4NS WILL BE EV [WED BY THIS OFFO EHER <br />NOTE: i1JIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCES�IBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 1b INCHES ABOVE THAE FLOORAWA G51 20 SEC83E060j2 ES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />FNVIRONMENTAL ANU CTHER CONTROL RECEPTACLES AND OTHER OPER,4BLE EQUIPMENT WITHIN <br />RANGES OF WAC 5E 20 SEC. SN 6( )4 E&SF AND NOT LESS TFIRAN 36 N HES ABOVE THE FLrOORN THE REACH <br />1 HEREBY CER7IFY THAT 1 HAVE READ AND FXAMINED THIS APPLICATION AND XNOW THE SAME TO BE TRUE AND CORRECT: ALL <br />PROVISIONS OF LA WS AND OROINANCES GOVERNING THIS TYPE OF 11'ORK WILL BE COMPLETED WHETHER SPECIfIED HEREfN OR NOT, <br />THE GR.4NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISI.:NS OF A.NY OTHER STATE <br />THIS PROP RTY O�P RFORM THF WORK F R WHfCH AAPLICA�ONCS MADE AND I COMPLY V�TH THE S7'ATE CON�TRAYi7TORS LA W 8.�27 <br />kCW AND 296.200 WAC. <br />(� - <br />Signalure � Date <br />ELECAF(PEVEi!) <br />FEE � �� O O <br />