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APPLIC� TION FOR ELECTRIC� . PERMIT <br /> C/TYOFEVERETT <br /> BU/LD/N('i D/V/S/ON <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9B201 <br /> (425J 157-8B>0 <br /> �2'Z� tc.�'1��2ti.'t� �1/� � Z-C7Z- <br /> PROJECT ADDRESS <br /> l�ti j9�+-yiz,ti� zs3<< t(Trt i1v� � .s�..rr,z� w�}- � �laZ ro(-74os�s'zs'_ <br /> OWnef MailAddress City State/Zip Phone <br /> Tenant MailAddress CNy StalefZip Phone <br /> fLf��22 GL D �/�[ `Z6�Z �-Fe'�kU4Lj GU�/ i(.'� SE�fTi'/� , [�(/�f' ��'�IjS ZC)(, SLGZd lj� <br /> ElectriCal COnlractOf� Mall Address Cit � Slate2lp Phone <br /> �LatitrLC�—�Z�-IU/ N Z <br /> �' 3. 5Z�cS7 °G' • <br /> Slate License Number Contract rice of Work <br /> � �"F/ � Fr — <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �j li �-(G Ct'!'-� 2 f-�=�C/' T1/'C���� <br /> ,. l � <br /> NOTE: PL4NS 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 /> EDUCATIONA FACILBITIES AND ALL HEALTH CARE FACIL TIES PLANS WILL BE EV EWED BY THIS OFFO EHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSI6ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC SE 20 SEC.�NO6()4 E&F AND N T LESS THAN 36 WCHES ABO�E THEDFLrOORN THE REACH <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROV/SlONS OF LAWS AND ORDINANCES GOVERN/NG TH/S TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN 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 /> THIS PROPERTI'TOGPERFORM�HESWORK FOR�CH APPLI�CA�OlJCS MADE AND I COM1�1PLY WITH T E STATE CONTRACTORS LAW 8.�27 <br /> RCW AND 296.200 WAC. <br /> + � . <br /> ' FEE <br /> , ,;����i'�' - �/�2''/ Y��lG�O �/` _ <br /> Signature Dale <br /> EIECAFIREV EYl1 4� � /j��_ ��� <br /> r ��!/ <br />