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AF'F'LI C I IUN FOR ELEGI RIC/�L PERMIT <br /> l�' <br /> C/TYOFEVERETT <br /> BU/LD/NG O/V/S/ON ' <br /> 8200 CEDAR STREET ' <br /> EVERETT, WA 9B201 <br /> (426J 167-8Bi0 <br /> �� �L� �b f4 � <br /> PROJECT ADDRESS <br /> �p o� Lcr�,..(�vU �� /LO�/O � _F_, �-�. -.•y cv�� 9��1 <br /> ier Mail Addreas StatdZip Plwna <br /> k' D S�e r✓s / .� l 5� ��f� �Gve.tid 4� 9 Srz o / <br /> Tenent Mdl Addrqa Clly Stete2Jp Plwns <br /> �s� �al� 7.3 s r- C��,�Er r.� ��� 3ss s-�y� <br /> Electrical Contrector MenAad�`sa �tty StateZP P�^� <br /> ncTF� ,� ,�-oZir3,Z S�� <br /> State Llcense Number Contrect Price of Work <br /> ,� l/� <br /> Proposed Use of Building Contect Person (Plan Review) <br /> DescrlpUon of Work to Be Done: ��� ,O �r��� '�� y� �G �� <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 TfiE STATE <br /> EDUCATIONA FACILBITIES AND ALL HEALTH CARE FACILITI SI PIANS WILL BE EV E1NED BY THIS OFF CEHER <br /> MOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES O�' WALLS <br /> F 1b NCHES ABO E THE FLOORAWAC 1 20 SEC.3108(c)2.ES OF TRAVEL SHALL BE MOUNTED A MINIMUI� <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> . RANGESI OF WAC SE 20 SEC SN 6(b)4 E&FAND NOT LESS HFAN 38 W HES ABO��THE P1LOORN mE RF1�CH <br /> 1 HEREBY CERTIPY THAT 1 HAVE READ AND E?CAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND ::ORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETI'�ER SPEqF!:D HERFJN OR NOT, <br /> 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV/SIONS OF ANY OTHER STATE <br /> THIS PROPERTY TO PEPF RM 7HE W RK FOR WHICH APPU A ON IS MADE AN01 COMPLYTWITH THE STATE CO RAC ORS WE18 27 <br /> RCW AND 296.200 WAC. <br /> o � — ; _�f � FEE 3�,� <br /> Signature Date <br /> �cwcnevwq ' �� O// <br /> 1 <br />