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APPL,"ATION FOR ELECTR�AL PERPIIT <br /> crrroF�Err . <br /> BU/LD/Nl3 D/V/8/ON <br /> 8200 CEDAR STREET <br /> EVERETT, WA 9B20> <br /> (425)267-dB10 <br /> � �f� �l ' 2. �{�ti ��l .e � <br /> PROJECT ADDRESS <br /> Ll( cch Q � s , Q -� � R �or s�-o <br /> pNme� ail Address Ciry State/Zip Phons <br /> Tenant Mail Addrcss CHy Slate/Lp Phona <br /> �l�NDI.'� �Go ( Eva� l� �ve �=�e•t�tf}� C1�. �'r�1o� o`CS`rl -xl4f <br /> ElecMcalConVacto� MdlAddress Ciry ShU21p Ptwn� <br /> 1=Yt-�4 N ss I�(2 C. P <br /> State License Number Contract Prlce of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descd tlon of Work to Be Done: ��,' r Gt e (nC CM �' � <br /> ... . .. .P_.._...... . . .. . . <br /> o°�c�-t� G� G� dYll� � L=L e � 4 pc �(-a �� . <br /> NOTE: PL4NS 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 /> EDUCA ONA FACILBIE ES AND AL HEA TH CARE FACIL TIESI PLANS WILL BE REV EWED BY THIS O F CE.ER <br /> NOTE: WIRING IN NON-DWF.LLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON.WALLS <br /> OF 1b NCHES ABOVE THE FLOORAWAC 51 20 SEC83 O6(c)2.ES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 SEC.91 6(b)4 E 8 F AND NOT LESS THRAN 36 N HES ABO�E THE FLVOORN THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TH1S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNMG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIf1E0 HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> THIS Pf',OPERTY TO PERFORM�HE WORK FOR�WHICH APPLICR�ON�S MADE AND�COMPLY WITH THE STATE C�R40 ORS l.AWE18.27 <br /> RC W AIJD 296.200 WAC. <br /> � • FEE �si <br /> c <br /> �/ Signature Dale <br /> (/�E�,,.,���., p� O�// <br /> � - - - <br />