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! I <br /> APPLICI(_ _'ION FOR EL�CTRICA�. PERMIT <br /> CITYOFEVERETT <br /> Bl!lLO/NG O/V/S/ON <br /> 9200 CEDAR STREET <br /> EVERETT, WA 98101 <br /> (426)?67-8810 <br /> 7 �U3 ���' �ve � '�, <br /> PROJECT ADDRESS <br /> �r�e ke�� �Zu3 � �'�AvP �v. �eVe��, �1/� 3�-�gc6 <br /> '� Mail Address Clty State2lp Ptwne <br /> OWnef <br /> �C�I'Yl.�� <br /> Tenant Ms��Addrcns Ciry Statd7lp P�^° <br /> Electrical Contrector hAall Address Ciry Shte2lp P� <br /> State License Number Contract Price of Work <br /> Proposed Use af Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �,{��YI(1 G 1'f)! l�d� A�(1 1(.�Q�� <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 /> E UCATIONA FACILBITIES ANDIA L HEALTH C RE FHCMLITIES PLANS WILL BE EV EWED BY THIS OL F CEHER <br /> NOTE: 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 /> OF 15 NCHES ABOVE THE FLOORA WAC 51 20 SEC. 3E06(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 8N 6()4 E&F AND NOTE ESS THAN 36 N HES ABOVE THE FLOOHRN THE REACH <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TQ BE TRUE AND CORRECT. ALL <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 CIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGUUITING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROP Y TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS UIW 18.27 <br /> RCW AND 6;200 W C. <br /> i <br /> ��// � �7�/� FEE <br /> «� -�S�IS � <br /> Signatur Daie <br /> e�wtnevece� /�/., D% , / <br /> !— � <br /> f�- <br />