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APPUCA�. !ON FOR ELECTRICA� PERMIT <br /> C/TYOFEVERETT <br /> BU/LOING D/V/S/ON <br /> 3200 CfDAR STREET <br /> EVERETT, WA 98201 <br /> (425J 257-88i0 <br /> � � ,�> �,�'C 1 dr l ��,��� <br /> PROJECT ADDRESS <br /> /j ., �1�2G1 �5� -293� <br /> CYR "� J- �9rrM rl'�+�Q�San � rne <br /> Owner Mail Address Ciry StatelZip Phone <br /> S'9 Vk e <br /> Tenant MallAddress City State/Zip P�e <br /> ��✓n e r <br /> ElectricalContractor MailAtldrers Ctty State2ip Phone <br /> �'�oa G� <br /> Stale License Number /T Contrect Price of Work <br /> /�a rw / De�i �W he r <br /> trr 9 r / Contact Person (Plan Review) <br /> Proposed Uel of�uilding <br /> Description of Work to Be Done: ///O(�. ///C'��'" ���G� SeN(l� U� OI 'f SC'O hI�PG� �r"n'rn <br /> S�rNR rf- YIPti)¢ �l� �I � f/7" 1�eti ciolM)F �i, fl� �h OJP 4 1 Y°°� <br /> 0� q4�1e �ti ���5 0�7"��'tr i � G9Ys9� l�� YCti � r ! �11fSCbnn�c! "t�r {')p?- <br /> �y�� <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 /> ,EDUCAT ONA FACILIT ESRAND ALL HEA THRCARE FACIL TIESI PLANS WILL BE REV EWED BY THIS OFFO EHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIP.ED 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 51-70 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES1 OF WAC 5E 20 SEC.�3N 6(b)4 E 8 F AND N T LESS THAN 36 N HES ABO�VE THE F`LOORN THE REACH <br /> I HEREBY CERTIFY THAT 1 HA4'E READ AND EXAMINED TH�S APPLICATION AND KNOW THE SAME TO 9E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR N07. <br /> THE GRANT/NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V/OLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> THIS PROPER�RTOGPERFORM THE WORK F�OR WHICH APPLICATIONCS.MADE AN D COMPLY WI7H HE S7ATE CONT�ACTORS Vi W 8.P7 <br /> RCW AND 296.200 WAC. <br /> � /C)- �G� y FEE <br /> / //� 4^✓..ew � ( <br /> Si ure Oate <br /> c�ccnvinnveoei — '7^ / 'i<' <br /> j'- �����G' �( - i .� <br />