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APP'LI(''�TION FOR EL�CTRIr-lL PERMIT <br />C/TYOFEVERETT <br />HUILDING O/V/S/ON <br />3200 CEDAR STREET <br />EVERETT; WA 9B20> <br />(425J 257-B870 <br />_ � C`�l U7�r INiC�i�1 i� �l� <br />PROJECT ADDRESS <br />�vo� 017c �l.l�' Sit�l/� �us <br />c <br />n�„�or Mail Address ���'/ <br />Mail Address <br />ciry <br />��' �11n�C• SiaS 5. � <br />EI?ctncal Contracto� MailAddress ��ty <br />o�� i 1���' � I Q i�, � <br />State Lic nse Number <br />Proposed Use of Building <br />� <br />� <br />i <br />,Uq g��� . <br />StalelLio Phcne <br />Slate2ip <br />�iavr� �U. �,�/N �-i�.2a3 <br />Contract Price of Wark <br />Contact Person (Plan Review) <br />Description of Wurk to Be Done: Ri�aQ I� U17 /��� Lin, �' ��� <br />_ ..... ....... . . . . <br />� � � �C� �'� / 1 C <br />Phone <br />tia5- <br />�s�.� <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST P.c <br />nPPROVED Bl' THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOES MUST SHOW THE STATE <br />EDUCATIONA FAi:ILITIES AND ALL HEALTH CARE FACIL TIESLPLA� SI WILL BE REVIE`JVED BY THIS OFF CE�ER <br />NOTE: WIF.ING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNlCATIONS SYSTEM RECEPTACLES ON.WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROU7ES OF TRAVEL SHALL 8E MOUNTED A MINIh1UM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERAB�E EQUIPMENT VVITHIN <br />R,4NGESI OF WAC 5E 20 SEC SN 6( )4 E& F AND NOT LESS THAN 36 N HES AB �VIE THE F`IOORN THE RF.ACH <br />I HEREBY CERTIFY THAT 1 HAVE READ F.'JO EXAM1iINED THIS APPLfCAT10N AND RNOW TNc SAME TO BE TRUE' AND CORRECL AIl <br />PROVIS/ONS OF LA WS AND ORDINANCES GOVERN/NG THIS TYPE OF WORK W/LL BE COM�LETED WHETHER SPECIFIFD HEREIN OR N07, <br />THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V/OLA TE OR ::ANCEL THE PftOV15JNS Of ANY OTHER STATE <br />THIS PROPERTY TO PERFORM HE WORK FOR WHICH APPLICATlON IS MADE ASDR COMPLY WITH THF �7ATE CC.N�RACTORS LAW 8�7 <br />RCW AND 296.200 WAC. <br />Signature " /-� <br />1` i <br />Et[c.sineveaa7 <br />/ S�'� g` _ <br />Date ��b� ���1 <br />L <br />F[E � � <br />