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APPLICt, TION FOR ELECTRIC; .� PERMIT � <br /> C/TYOFEVERETT � <br /> HUILD/NG O/V/S/ON <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9B20f <br /> (415J 257-8B>0 <br /> 3!5 _ `���y �5T �� <br /> PROJECT ADDRESS <br /> ir�ev �W�.L 3/S- `/7 �T �S/= /=�/ wA- 9s2o3 (��7) 339-3387 <br /> �ef MailAddress City State/Zip Phone <br /> Tenant Mall Address Ci'ry SlatelZip Phone <br /> , < � �Nr� r-_u=�rn� � <br /> ElectriCalCoMfactot MailAddress City StaPeOJp Phone <br /> ►.A �=y — <br /> State Ucense Number Contrect Price of Work <br /> ,:� F,� (�xS,s?'rN"�> — - <br /> Proposed Use of 8uildin Contact Person (Plan Review) <br />' Description of 1Nork to Be Dore: ��i R� �'vp�Ti�N ( ������N ' ��uKi <br /> -- I <br /> NOTE: PLAfJS FOR ELECTRICAL WORK AT EDUCATIO�AL, FACILITIES UT{LIZING STATE FUNDS MUST BG <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J06S MUST SHOW THE STATE <br /> EDUC�ATIONAL FACILBIT ES AND ALL�HEA I H C RE FACILIT ES PLANSI WILL BE REV EWED BY THIS OFF CEHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDIGAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICAT{ONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIeLE ROUTES OF "(RAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE l'HE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES �,ND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 SEC.�3N 6()4 E & F AND NOT LESS THAN 36 N HES A O�E THE F`LOOHRN THE REACIi <br /> 1 HEREBY CERTI�Y THAT 1 HAVE READ AND EXAMINED THIS APPUCATION ANO KNO W THE SAME �� BE TRUE AND CORRECL ALL <br /> FROV/SIONS OF LAWS AND OftDINANCES GOVERNING THIS TYFE 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 /> 7HI5 PROP RTY OGPE FORM THc WORK FOR WHICH APPLI�CA�ON�S MADE ANDRI COh�PLY WITH THE S ATE CONTRACTOR3 LW,qW 1 BO� <br /> RCW AND'196.200 WAC. <br /> � / ��2—� FE�5� <br /> Signature Date <br /> ��a�,�,� r q��8 �� <br />