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APPLIC�'TION FOR ELECTRIC�.. PERMIT <br /> C/TYOFEVERETT <br /> BU/LD/NGO/V/S/ON <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9B201 <br /> �a2s�25�esro <br /> � ( ) j `i 3lK <br /> - . 1 r� �F e(' ,� F nU �, �/?,� 3 Y3• 5�5, <br /> �OJECT ADDRESS / / <br /> �'� K nC� �� �I�S L�. �'/=�U" t� I c x�r" c? ( #T l-� 1GC `��J�.�� c.,1. `z;�Z a � <br /> OWnef MailAddress City StatefLip Phone <br /> (v��1 <br /> Tenant MailAddress City SlalelZtp Phone <br /> . � . � Pc ��� � �^ UC� " �� LJ�; . � `17u3 <br /> ElectricalConl�acto� MailAddress Ciry Sla;e2lp Phone <br /> � ��.�..c-�. � , <br /> State License Number Contract Price of Work <br /> C F 2 ,�t: �� ,�fc ��. N � -,� <br /> Proposed Use of Building Contact Person (Plan Review) / <br /> Description of Work to Be Done: �' (C'c ��� L A � SC-�-�� C t � f' rl�C �.J <br /> � / /^ � <br /> (� -tr[.�CY, U-.. S. N � C TG..✓�. I� JC�� . NCF' . ^^ <br /> - �R�N:C.C. <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 FACILBITIESRAND ALL HEA THRCARE FACML 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 ACCESSIBILIN: ELECTF2ICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> �F 15I NCHES ABO E THE FLOORA WAC 51 20 SEC83 O6(c)2.ES OF TRAVEL SHALL BE MOUNTEd A MINIMUP�I <br /> ENVIRONMENTAL AND OThiER CONTROL RECEPTACLES AND OTHER OPERABLE EUUIPMENT WITHIN <br /> RANGESI OF WAC SE 20 SEC.�3N06 b)4 E &F AND NOT LESS HRAN 36 N HES A90VE THE F1LOOHRN THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICP.TION AND KNOW THE SAME TO BE TRUE AND CORRECT. lILL <br /> PROVISfONS OF LAWS AND ORDINANCES GOVERNING TH/S TYPE OF WORK WILL BE COMPLETED WNE7HER SPECIFIED HEREIN OR NOT. <br /> THE GRANT/NG OF A PERMlT DOES NOT PRESUME TO GIVE AUTHORITI'TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGU(ATING CONSTRUCTlON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK fOR WHICH APPLICATION IS MADE AND I COMPLY WITH TNE STATE CONTRACTORS IAW 18.27 <br /> RCW AND 296.200 WAC. <br /> I� (Y �4`� FEE <br /> � / <br /> Signature � ale -7 <br /> n[wlnEvecel � "I-I `I�C � <br />