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APPLtCA�l�N FOR ELECTRICAI�'�ERMlT <br /> CITYOFEYERE7T � � � l7 � � �-y � <br /> BUILOING DIVIsION <br /> 3200 CEOAAS7REET ���j � <br /> EVFRE'TT, WA 98201 S E P 21 2000 <br /> (4zs�257-88�0 <br /> � <br /> _ _. <br /> CITY OF EVERETT <br /> u� �� � J�`�� STR�� 5���, '_n�ineeringlPublic Sen�rc:;:: <br /> PROJECT ADDRESS y�\���y <br /> � �Aov �1. �,+� �1JA 98�31 �, � s <br /> ��''���n'� �151��� � Phane <br /> Oarnef <br /> Ma�Addresa Clly StelrlLp <br /> � `_� <br /> Tenant <br /> MallAddress City SlaldZD . Phone <br /> `� � YR �l'�' �R�1CR�Y LV t��Al 'U.�1 �Q do`21d����� � <br /> �A�Tw.I�F�t*�� �j Pnono <br /> Eleetrical Controdor MallAddreas ay Slate2tP <br /> ������ � RS ConVact Prlee of Work <br /> State Lleenso Numbef <br /> ���Nr� F�m��� �s��Kr-ic-�_ �n�� �m ti^�' <br /> Proposod Use of Bullding Confact Peraon (Plan Re��lew) <br /> Description of Workto Be Done: �L��'CY2.�C�1-- �'Z'��Z- N�� ���tn�G� <br /> � Ih: <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACIL�TIES UTILIZING STATE FUNDS MUST BE <br /> qppROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUS7 SHOW THE STATE <br /> �UCA ONA FACILgIT ESRAND ALL HEA TH C RE FACILITIES PLANS WILL BE REVIEW D BY THIS OFFOTEHER <br /> NOTE: WIRING IN NON-DWELLING& IS REQUIRED TO 6E IN RACEWAYS, M. OR AC CABLE. � <br /> HANDICAPPED ACCESSIBI�IIY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 1b WCHES ABQVE THE FLOORA�NAC 51 20 SECe3 66(c)Z�S OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMEN7AL .4ND OTHER CONTROL RECEPTACLES AND OThER OPERABLE EQUIPMENT WITHIN <br /> RANGES�OF WAC�til z0 SEC SN 6()4 E&F AND NOT LFS THAN 36 NCHES A�OVE THE F�L j H�N THE REACH <br /> I HERE9Y CERTIFY TH/IT 1 HAVE RE,4!)AND IXAMINED THIS APPIJCATlON AND KNOW THE SAME TO BE TRUE A��D CORRECT. ALL <br /> PROVISlONS OF LA WS AND ORDlNANCES GOVERNING 7HI5 TYPE GF WORK WILL BE COMFLETF�WNETHER SPECIFIED HEREIN OR NOT. <br /> THE GRAAITING OFA PERMIT DOES NOT PRESUME TO GlVE AUTNORITYTO VlOL4TE OA CANCEL TNE PROVISIONS Or ANY OTHER STATE <br /> �TtRlIS PROPERTY TO P AF RM THE WORK FOR WNlCN APPLfCATlON IS.MADE�D I COrMPLY WllH THE S�E C N7�RACTORS LA W f8 S7 <br /> RLW AND 296.200 WAC. <br /> . + r �n ��,3, FEE`� �7 <br /> U � <br /> l. <br /> � SignaWre pate <br /> E�[wW[v�cq . <br /> _ �s�����s � <br />