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APPLICf :ION FOR ELECTRICi4 _ PERMIT <br /> CITYOFEVERETT <br /> BUILD/NG D/VlSION <br /> 9200 CEOAR STREEf <br /> EVERE7T, WA 9820f <br /> (426J 267-BBlO <br /> I 1 � Cf�"""" <br /> PROJECT ADDRESS ('� c q�y� � n <br /> � � � Ir.� �i�X l � / p �l ��� l'�(�u �I,� J���� /IUJ ul� 9Xa06 �(�ti� P �(� C�� <br /> Owner 1 Mail Address City State2lp <br /> (� ) ` ) � _ ^ �� � � 5�J�`!'1 � <br /> , <br /> Tenant MsilAddress CNy S�ate2ip P� <br /> � 1n � � - ��,c�rp u c l� �'33 �G�5�l� -� <br /> Electrical Contrado� MeilAddress � Cly SWe2Jp Ph°^� <br /> �,�� l�l ��1-- �� (JV <br /> State License Num er Contract Price of Work <br /> /' ! �� <br /> Propose f Bwl g Contact Person (Plan Review) <br /> Description of Workto Be Done: �� a� ('�Qf�l(KX �p p� Sl'�'�"' "� <br /> � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZ�NG STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONAL FACILBITIES AND ALL HEALTH CARE FACIL TIES PLANS WILL BE EV CWED BY THIS OFF CE.FR <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGE3 O�F WAC SE 20 SEC.9N06(b)4 E&F AND NOT LES THAN 36 NCHES PO�E THED 1LOORN THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICAflON 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.iPECIFIED 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 TO PERFORM THE WORK�OR�WHICH APPLCA�ON IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LA WE 8.47 <br /> RCW AND 286.200 AC. <br /> �(� l; I ./ _ FEE 7� — <br /> 1/ !�✓ <br /> Signeture Dale <br /> ELEW(11EV!W7 ���)1// <br /> Y <br />