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APPLIC� . ION FOR ELECTRIC�. PERMIT <br /> CIIYOF EVERETf <br /> BUILDING DIVISION <br /> 3200 CEDAR SlREET <br /> EVEReTT, WA 98201 <br /> PHONE:(425)257-8810 <br /> FAX: (425)257-8857 <br /> �10 � i7,alG�wla a^� <br /> PROJECT ADDRESS <br /> M�kQ titcCv�e 5[a ( Da.(a�v�e E a.w-tt �,.3a.qS2d3 <br /> Cit State2ip Phone ' <br /> Owner Mail Address Y <br /> �w�--a- <br /> Tenant Mail Address City Slate2ip Phone <br /> P� 5�,. Et��f,r��c zz3o ,4�� s E��.�-f- � 98�3 4�.S-��a-?63o <br /> State2i Phone <br /> Eleclrical Conlraclor Mnii Addrr,ss • Ciry � P <br /> t�f2 Es'f�' 02�1 N b l 5oa- <br /> Slate License Number Contract Price of Work <br /> 5�.�,o1e �n�...«<�/ t�-Scc�aw<e <br /> Proposed Use of Buiiding Contact Person (Plan Review) <br /> Description uf Work to Br. Done: U. ��z e. •�� S�'/'J. � ���`"" S �T'� <br /> �-a �tll�ecJl�������^f'S D�s�vo���2. IC���Osn CiYC'u�'�5 �33-���5�� (`�O�tnh — <br /> ��..(�� l.Jc�s1�r� i7rYac'r $�TN G+=� � G¢v�� � F.T. <br /> NOTE: PLANS FOR ELECI'RICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STAT� OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> DUCATIONA FACI BTIE3 AND ALL�HEALTH CA E FACILIITI S'PLANS WILL BE R V EWED BY THIS OFFICE.HER <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 16 NCHES ABIO E THE FLOOR.AWAC 5120 SEC' 3106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTAOL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 SEC.�3N 6(bj4CE & FI A DRNOT LE S THAN 36 INCHES ABOV�EUTHE�F OOR IN THE REACH <br /> I HEFEBY CERTIFY THAT 1 HAVE AEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREfN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GI VE AUTHORITY TO VIOLITE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L1W REGULATING CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY 7HE <br /> CONT ACTORS/L7WFC.27FCWAND296200WAC.E WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TNE STATE <br /> �µ-� <br /> � Z_ Z� d � FEE <br /> Signature Dale _ <br /> ELECAP(REV 896� <br />