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APPLIC� "TION FOR ELECTRIC " L PERMIT <br />CITY OF EVERET7' <br />BUILOING OlV/SION <br />3200 CEDAR STREET <br />EVERETT, WA 9B201 <br />(425J 257-B910 <br />7 <br />� �C� �7� �GCc"�"F,�lE� <br />PROJECT ADDRESS <br />� j t /j,�ji iNaJ �% / ��'� y/GCc3 , C c/ia ( ��; <br />Owner Mail Address ��b <br />�✓G' <br />Tenant <br />State License Number <br />Mail Addtess <br />Mail Address <br />��/�% �� .�/E �C�� i/�/1Eiv / <br />Prapased Use of Building <br />Description of Wcrk ta Be Done: <br />�� c�/l / �.C%F <br />City <br />ciry <br />i� f� �-�F�i Gv/7 <br />Stale2ip <br />;p.UG <br />Phane <br />Phone <br />ata�eicry <br />.� <br />.7 J ��9cJ <br />ContractTPrice of Work <br />Contact Person (Plan Review) <br />rueuc <br />�� r//�F /�,�'/1��' �- CJii�/•' /u�l�/ -- <br />NOTE: PL�,NS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH .!OBS MUST SHOW THE STATE <br />EDUG�ATIONA FACILBITIES�AND ALL�EA THR ARE FAC L TIES PLANS W;LL BE REV EWED BY THIS OFFI�CEHER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACE�'JAYS, MC OR 11�: CABLE. <br />WITHIN ACCESSIBLE SPACF OR ALGNG ACCESSIB E�ROUTES OF TR,4VE SSHAI. RBE MOUNTED A� MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 S�C. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTAt;LES AND OTHER OPER.48LE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TR,4VEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES UF WAC 51-20 SEC. 3106(b)4 E 8 F AND NCT LESS THAN 36 INCHES ABOVE THE F'.00R. <br />I NEREBY CERiIFY THAT 1 HAVE FEAO AND EXAMINED THIS APPLICATION AND HNO W THE SAME TO BE TRUE Ah'D CORRECi. ALL <br />PROVlS/ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETEC WHETHE.4 SPECIFIED HEREi'� r�2 NOT, <br />THE GRFl.'T7NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI7Y r0 V/OLATE OR CANCEL THE PROV/SlONS OF ANY JTHER SrATE <br />OR LOCAL L4W REGULAT/NG CONSTRUCTlON OR i FIE PERFORMANCE OF CONSTRUCTION. THAT I AM AUT'HORIi ED BY rHE OWNER OF <br />THIS PROPERTl TO PERFORM THE W�RK FOR WHICH APPUCATfON IS M�DE AND I COMPLY WITH THE STATE CON7RACTORS LAW f8.27 <br />RCW AND 296.200 WAC. <br />Signature <br />[i[cnctAtveoe) <br />� �� ��, FEE <br />Date LdO1;L—�(p� <br />