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AP�L�C� ION FOR ELECTR��A� PERIVIIT <br /> CITY Of EVERETT . <br /> BUlLD/NG D/V/SlON <br /> 3200 CEOAR STREET n- <br /> EVERETT, YS'A 982U> <br /> (425J 257-BB10 <br /> ZZ� F-`ou./r72c1 J�d6 <br /> PROJECT ADDRESS / /�,� <br /> S��L�F �pn11T U�12(' L�31 S �TI��Ji17/'I���o�`ik � �la '7TC/�Z <br /> owner Mall Address <br /> �ny StalelJJp � Phone <br /> ��1zS�3£� •�/5`9 <br /> yyle•6./r 47S'��7.A4--ZC�77- <br /> Tenant <br /> Mail Address City SWIelLlp Phone ' <br /> ElectdcelContracto� MailAddress City SlalelLp Phone <br /> State License Number Contract Price of Work <br /> ��_ S�2 _ <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> i <br /> Description of Work to Be Done: � � ' <br /> NOTE: PLAIdS FOR ELECTRICAL WORK AT EDUCATIONAL, �?,CILITIES UTILIZING STAl'E FUNDS �NUST QE <br /> APPROVED BY THL STA'iE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STA7E <br /> EDUCA IONA FACILBITIESRAND A.LL HEA THRCARE FACIL TIES`PLANS WILL BE REV EWED BY THIS OFFO EHER <br /> NOTE: WIRING IN NON-DV1fELLINGS IS REQUIRED TO BE IIJ RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELEC'iRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WP.LI_S <br /> OF 1b WCHES ABOVE THE FLOORAWAC 51 20 SECB3 060�UZ ES OF TRt1VEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONI'ROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES'OF V\iAC SE 20 SEC.�3N 6(b)4 E&F AND NOT LESS THAN 36 NCHES ABO�VEtTHE FL/OORN THE REhCH <br /> I HEREBY CERiIFY THAT 1 HAVE READ �ND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. FlLL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNIA'G THIS TYPE OF WORK WILL BE COM1h'PLETED WHETHER SPEqF1ED HEREIN OR NOT, <br /> THE GRANiING OF A PERMIT DOES NOT PRESUME��;J GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF AN':OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION Oi3 THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTrfOR2ED BY THE OWNER OF <br /> THIS PROPERTY TO PERFpRM THE WORK FOR WHICH APPIJCAI"ION IS'AADE AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br /> RC W AND 296.200 WAC. <br /> _ <br /> ' � <br /> 3 '– —OCi FEE <br /> Signature Date <br /> eie:�reneveee� <br /> � <br />