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APPUC.�"TION FOR ELECTRI� � L PERMIT ' <br /> CITYOFEVERETT <br /> BUILD/NG O/V/S/ON <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9B20> � <br /> (42s�25�-aa�o <br /> � <br /> �l.4�3 �i�5.��i/� <br /> PROJECT ADDRESS <br /> .y��.;.,.5 L✓.Qz.`�oaJ �f�o J�wc�,—.�✓t ,E✓i4ss.r G/�f •>9'.tns <br /> Owner Mail Addross Cdy Stale/71p � Phone <br /> Tenant Msil Addross Cfty Stete/Zip phon� I <br /> 6lE� <br /> Electrical Contrecto� MaflAddrese City StsteZp Phon� <br /> State Ucense Number Contrect Prfce of Work <br /> <3 iJ�.v� .. <br /> Proposed Use of Buildfng Cantact Persan (Plan Review) <br /> Descrlptlon of Work to Be Done: �//1,�C �.4/1�AG� ��,��il� /��TT � <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 SFiOW THE STATE <br /> EDUCATIONA FACILBITIES AND ALL HEA TH CARE FACML TIES PLANS WILL BE EV EWED BY THIS O F CE.ER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANQICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 15I N HES ABOVE THE FLOORAWAC 51 20 SEC83 06(c)2.ES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL R��GEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE3 OF WAC SE 20 SEC.8106()4 E&F AND N T LES THAN 36 W HES A O�VE THE F1LOOHRN THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND E?CAMINED THIS APPUCATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK Wl�BE COMPLETF-D WHE7}1ER SPEClFIED HERE/N OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> �IS PROPERTY TO PERF RM THE WORK F R�WHICH APPUCAMION�S MADE AND COMPLY WITH THE STATE CONTRACTORS L4 WE10 27 <br /> RCW AND 298.200 WAC. <br /> /_�/ /�� ��—/y� FEE <br /> ! � <br /> 5lgnature Date <br /> ELEGPf�lV W) I <br />