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�u�—tu—ui rtc� � APPLIC�TION�FOR�ELECTRIC�L�PERMIT <br />CITY OF FVERETT <br />BU/LDING OIVISION <br />9£00 CfDAR STRfET <br />EVERE7T, WA 98201 <br />(425J 257•B8l0 <br />�r9`c '�•�S" �S'% ��% <br />2'� �-i �- l.,v l I 8� i�� �E <br />PROJECT ADDRESS <br />�i,n�lv�ev�-1— ,�►nn nl� Sc7'"�-h' <br />Tenant <br />ME��'� DCC��ssSh <br />Stata License Number <br />Proposod Uso o' [iuilding <br />M�ll Addreia <br />Address <br />n� <br />,�� � o U <br />CUy <br />Cay <br />� <br />c� <br />State2ip <br />stn�2lp <br />y�5•uss- <br />�• '�BdUy�qc <br />PMne <br />Pnone <br />_ LJS 55`I�s ss <br />Phone <br />ConVect Price of Work <br />Contect Person (Plen Review) <br />•.. �An�a��u,�rsi�e��.��.���.■...a�.�. -���------ <br />: - — <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE F�NDS MUST BE <br />APPROVED BY THE STATE OF WASHINaTON. APPLICANTS WITH BUCH JOBS MUST SHOW THE STATE <br />EDUOATIONA FACILITIEs AND ATLL HEA TH CARE FACIL 71ES�LPLAN6 WILL BE REV EWED BY THIS OLFFO EHER <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSiEM RECEPTACLES ON WALLS <br />F 16I N HE9 A90VE THE F OORAWAC 1 20 SEC82106(�)pTES OF TRAVEL 9HALL 6E MOUNTED A MINIMUM <br />ENVIRONMEN7AL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT �NITN�h <br />R,4NGESI OF WAC 5� 20 S�CLON 8 b)4 E 3 F AND N TE ESS HAN 38 NCHES BO�VE THE PLVOOHRN 7HE REACH <br />f HERE9Y CERTIfY THAi 1 <br />PROVISlONS OP LAWS ANO <br />THE GRANTING OF A PERMI <br />OR LOGAL U1W REGUU1TfN <br />THIS PROPERTY TO PERF01 <br />RCW ANO :96.^00 WAC. <br />� <br />r <br />t / <br />� �� t t �1'I �� f�l � <br />Bignalure <br />[ItCV��lV/Oq <br />�� �� FEE � 5 �jd <br />� <br />Oat� • <br />�1 � <br />l <br />