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APPLIC�( �:ION FOR ELECTRICAC PERMIT <br /> C/TYO� `'� ERETT / <br /> BU/LD/n..D/V/SION <br /> 9200 CEOAR STREET <br /> EVERE7T, WA 9B201 <br /> (415J757-BBfO <br /> �1 � �S V l �ew � t', C �-T, l,�S�{, <br /> pROJECT ADDRIE/SS �`�2�� <br /> �tc� l�`Ke1'�zi� �"1`la�' U , �eu4�� ��� �. `�Szo3 a�8-`tsia <br /> Owner MailAddress CMy Stataftip P� <br /> Tenent MeflAddrcsa Clty Shla2ip P� <br /> DLU /`FJ�� <br /> Eledricel Contrector MeltAddress C1ry StatrJZlp P� <br /> Stete Lice.^.se Number Contract Price of Work <br /> Propo�ed Use ot Bullding Contad Person (Plan Review) <br /> Description of Work to Be Done: 0\2�� hC'e b�� \ '`A[ N �U � �"`�^P� �'`���� h�w <br /> L:v��u �•t- hv�eqK�rs 4 u!✓4vr.�.(.� f'mn.� C �o �4wy� �a � A�+�r. <br /> NOTE: PLANS FOR ELEC7RICAL 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 /> EDUCAV ONA FACILBITI S AND�LL HEALTH C RE FAC�IL TIESLPLANS WILL BE REV EWED BY THIS OFFO EHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIP�LITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 1 b NCHES ABO E THE FLOORA WAC 1 20 SEC. 3 06(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.SN 6 b)4 E&F AND NOT LESS THAN 36 N HES A O�VE THE FL/OOHRN THE REACH <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ACL � <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK W1LL BE COMPLETED WHETHER SPEC�FIED HEREIN OR NOT, � <br /> THE GRANTING OF A PERMfT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATF I <br /> THIS PROPERTY TO PERFORM THE WORK FOR�WHICH APPUCA�ON�IS MADE AND 1 COMPLY WITH THE STATE CONTRAC ORS WE B 27 <br /> RCW AND 296.200 WAC. . <br /> s' <br /> /,� �� , � , ��i� FEE S <br /> � � � <br /> Signature Date <br /> v�� <br /> �.E���.� i <br />