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APPLICA i ION FOR ELECTRICA�L PERMIT <br /> C/TY Of EVEREiT <br /> BUILD/NG DIV/SION <br /> 3200 CEDAR STREEi <br /> EVERETf, WA 98201 <br /> PHONE:(415)257-dd IO <br /> FAX: (425)257-8a57 <br /> �y�� ���,��_� <br /> PROJECT ADDRESS <br /> � L -n� 5U08 S�ANURST AV�� �V�1� =T'L 1_ �nJk 9$203-3o2Y (�25`?�}$.-43d3 <br /> Owner ldail Address City State2ip Phone <br /> Tenant Maii Address City State2ip Phone <br /> l�'/ ��� phone <br /> ElecUical CoNractor Mail Address City State2ip <br /> State License Number Contract Price ot Work <br /> Proposed Use of Building Contact Person (Plan Reviewj <br /> Description of W ork to Be Dane: T�5TC1 11 P ci a �.1���L�4u S�� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY TNE STATE O� WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUC�A IONA FACILBITIE�S AND IALL�HEALTH CARE FACILIITI SI PLANS IWSLL BE RE EW ED BY THIS OFFI OTHER <br /> NOTE: W IRING IN NON•DW ELLINvS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RtCEPTACLES ON WALLS <br /> pFT SI NCHESSAL'OVE THECFLOOR.AWAC 51A-20 SEC 3 106(02 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTIIER CONTROL RECEPTACLES AND OTHE� OPERABLE E�UIPMENT WITHIN <br /> RANG[SIOF WP.0 SE 20 SEC.SN06(b)4CE& FI ANDRN�OT LES�S THAN 36LINCHES ABOVOE THE�F OOR IN THE REACH <br /> I HEFEBY CEFTI�"Y THA7 1 HAVE FEAD AND EXAMINED THfS APPL(CATION AND KNOW 7HE SAME 70 BE TRUE AND COftRECL 4LL <br /> PFCVISIONS OF L4 WS ANO OFDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEFEIN OR <br /> NO i. 7HE GflANT1NG OFA PEFhI1T DCES NOT PFESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVIS/ONS OF ANY OTHER <br /> SiATE OR LOCAL LAW FEGUL7TING CONSTFUCTION OF 7HE PERFOFh1ANCE OF CON57RUCTION. THAT 1 AM AUTHOFIZED BY 7HE <br /> ObM1'NER OF 7HIS PFOPEFTY 70 FEFFOFhf 7HE WCFK FOR WHICH APPLICATION IS MAUE AND I COMPLY W17H THE STA7E <br /> CONTFACTOFS LAW 7827 RCW AND 296200 lh'AC. <br /> ��J�.v� �� �f I I /� FEE <br /> Signature Date / _ <br /> ELECAP(REV 8P8� � L, '� � <br />