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APPLIC��I4N FOR ELECTRIC�� PERMIT <br />C/TY OF EVERETT <br />BUILD/NG O!VlS/ON <br />3200 CEDAR STREET <br />EVEREfT, WA 9B201 <br />(425J 257-88Y0 <br />—�-'70 8 l6-�c,� ��b6c ? � � � 3 <br />PROJECT ADDRESS <br />�� <br />Tenant <br />Mail Address <br />ciry <br />Cily <br />awiaup <br />State2ip <br />� <br />�� <br />rum�� <br />Phone <br />UVl �Z-�-- ` �" G <br />Electrica;Cont�acto� MailAddress City SWle2lp Phone <br />State; License Number Contract Price of Work. <br />Proposed Use af Building <br />Description of Work to Be Done: <br />Contact Person (Plan Review) <br />��- �aa /t"�v� �cj 2U �ct. <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 />EDUCATIONA FACILBITIES AND ALL�HEAL H C RE FACIL TIESLPIANS WILL BE REV EWED BY THIS OFFO EHER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN R,4CEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATICNS SYSTEM RECEPTACLES ON WALLS <br />OF 16 WCH S ABOVE Ti1E FLO RAWAC 1 20 SECB3 06(c)2. ES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGESI OF WAC SE 20 S CLON 6(b)4 E& FAND NOT LESS THAN 36 N HES A O�VE THEDFL,�OHRN THE REACH <br />1 HEREBY CERTIFY THA7 I HAVE READ AND FXAMINED THIS APPLICATIOP! AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN Oft NOT, <br />THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISfONS OF ANY OTHER STATE <br />OR LOCAL LAW REGULATING CONSTRUCTlON OR THE PERFOftMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS Pf20PERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH THE STATE CONTRACTORS LAW 18.27 <br />RCW AND 296.200 WAC. <br />L <br />Signaturc <br />ELEfN(A�0�) <br />(�' �(� �(/ <br />Date � <br />� oo� /� �3,�` <br />FEE <br />