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APPLIC( TION FOR ELECTRIC�'. . PERMIT <br />Cl7Y OF EVERE7T <br />BU/LO/NG OlVISION <br />3200 CEOAR STREET <br />EVERETT, WA 9820f <br />(425J 257-8B10 <br />�o Z s ��, IM,N� �v�� <br />PROJECT ADDRESS <br />VL <br />Tenent <br />%riN[ � <br />"o z s <br />Meii Addreas <br />J� C <br />�, e Meil Addreas <br />I�n N 1J�� � �O yy/�Z <br />State Licensa Number <br />J /`� 2- <br />Proposed Use of Building <br />Description of Wark to Be Done: <br />T> A /_�. o �.J <br />i � <br />Mi�✓t �0 <br />Cily <br />Y �� <br />cny <br />StalelLip <br />� SiffielLip <br />%OO,00 <br />Contract Price of Wark <br />Zf2-�3U� <br />Phone <br />3�� <br />y?i =S7� <br />Phone <br />Contact Person (Plan Review) <br />oc�4fe Mffc✓� <br />;z � L� G�-e <br />`. , <br />.oh /a lYvvs <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 />EDUCATIONA FACILI� E AND ALL HEA TH C E ACML TI SI PLANS WILL D� EVIEWED BY THIS OFF CEHER <br />NOTt: 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 />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TR,4VEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 57-20 SEC. 3106(c)2. <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 CHES BO�VE TNE F`LOORN THE REACH <br />I HcREBY CERrIFY THAT 1 HAVE READ AND EXAMINED 1NI5 APPUCATION AND KNOW TNE SAME TO BE 7RUE AND CORRECT. ALI. <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 />OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUiHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR lh4lICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS UI W 18.27 <br />RCWAND 296.200 WAC. <br />� <br />Signature � � Date <br />ELEGryI1EVue1 <br />v/� <br />FEE <br />�II�� <br />