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APPLI(� TION FOR ELECTRIC: _ PERMIT � <br /> � <br /> C/TYOFEVERETf � <br /> BUILD/NGOIVISION <br /> 9200 CEDAR STREET <br /> EVERETT, WA 9B20f <br /> (425)267-8810 i <br /> � <br /> � C' I �`-> �'�il �r , IJ � �� rJ � <br /> PROJECT ADDRESS ; <br /> i <br /> r <br /> OWnef MailAddreas CIty StatrlLip Ptane <br /> i <br /> Tenant Mall Addrosa 1 Cky State2ip P� <br /> rl L 11'71�1 �Lf. � l i� ;.( � �� „� 1�Sb�"d �1�1k1���i111!C'= Wk �'iIZ,C• .7C�� LS i �j/-" a <br /> �gy StetelZip Phone p <br /> ElectdcalContrector MailAddrass 1 <br /> 1�,. .�lo��;:�'� —'��— , ' <br /> State License Number Contract Price of Work <br /> I� � <br /> �-'�,L� S" I <br /> Proposed Use of Bull ing Contact Person (Plan Review) � <br /> � ��� � I�-' CC.- <br /> Description of Work to Be Done: � t��� � l�"��- ��'� c'l�'� ' ��L''���� ' <br /> � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UT;LfZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONAL FACILBITIES AND ALL HEA TH CARE FACIL TIESI PLANS WILL BE REV EWED BY THIS OFF CE.ER <br /> . <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 /> OF 1 b NCHES ABOVE THE FLOORA WAC 1 20 SEC. 3 O6(c)2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES�OF WAC SE 20 SEC.�N 6()4 E&F AND NOT LESS T HN 36 M HLES BO�E THE�FLVOORN THE REACH <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED 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 /> T�IilS PROPERTY TOGPERFORM HE WORK FOR�WHICH APPLICA�ONCS MADE AND 1 COMP�Y WITH HE STATE CON7RACTORS LA�WE1A07 <br /> RCW AND 296.200 WAC. , � <br /> ''r i i <br /> ( 1 f <br /> ,�,�'t ; ! %�/L/�_ f _ Ip � GL� FEE <br /> Q Date <br /> SI nature EQdp(-O�c( <br /> n[c�v�nevew� <br />