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APPLIC� � ION FOR ELECTRICA� PERMIT <br /> ClTYOFEVERETT <br /> Bl/lLD/NG D/V/3/ON <br /> 9200 CfQAR STREET <br /> EYERETT, Wi1 De101 <br /> (426J?67-8Bf0 <br /> � � ��y 2 �� — Z r=v�r rT �vr= �z�'� F�o�� <br /> PROJECT ADDRESS <br /> G�ai(�r JNUH soza cv��ti+��f c1/� ,�v- w/�- 9��3 (yL�� zs6P�yos <br /> Owner MW Addrow <br /> Temnt b�°��Addm� Cky SM✓LP FhaM <br /> /v1 �(�/N?' I�C t2/L �� syb/L� Pnc+n <br /> Electrical Contrad r ��A�� <br /> M ��, Contrect Price oi Work <br /> State License Number <br /> R E S . p �n�����Y <br /> Proposed Use of Bullding Contect Person (Plen Review) <br /> Description of Wcrk to Be Done: � �u /'� 1-�-Lf��✓L S � �'U h'D �1=�`�� �S r CW/Q� — <br /> i <br /> U/�l iT �� F20/v i <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 SHOW THE STATE <br /> EDUCA ONA FACILBITIES AND ALL HEAL'fH CARE FACIL TIES PIANS WILL BE REV EWED BY THIS OFF CEHER <br /> NOTE: WIRING IN NON-OWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 16 NCHES ABOVE THE FLOORAW!`,C 1 20 SECB31oRs(cjzTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 51 20 SEC.�N06(b)4 E &F AND NOT LESS H�AN 36 N HES ABOVE THE P`LOORIN THE REACH <br /> 1 HERE81' CERTIFY THAT I HAVE READ AND IXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK IMLL 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 /> �HIS PROPERTY O PERFORM�HE WORK FOR�WHICH APPLICATION�S MADE AND 1 COMPLY WITH THE STATE CON�ACTORS WE B 27 <br /> RC W AND 286.200 WAC. <br /> ^ � � - - 00 FEE <br /> Signaturc Date <br /> �E���..,, 3- � �- / <br />