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oe/18/BB NED 07:17 FAI 208 b51 7�22 IBY'ICS +.a S6R f�002 <br /> � ' �. <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> C/TYOPEVER!TT <br /> BU/LOINGO�✓/SION <br /> 9200 CEOAR STREET <br /> EVERET/ WA 9B201 <br /> (426J 257-881 D <br /> �7�.1''�1 �� .�+t;�.Rf�u�. l�=Ii k.,� <br /> PROJECT ADDRESS <br /> �h�-x�,ti1 �'�����iS �L� C� 1�`1��[ r�J� P7��IQ 4 ��e , l.�}H �I�,i:� �i-�:-y5�(�GG <br /> OWner MaAAddfels Ciy SlalelLp Phone <br /> l�: h� ,,, hl���•�r�� �C�1 ����ec�t�ae� 4_ k e'�F� �1�71h;� <br /> Tenant e MaA Addresa �cn s�c��.� �-��`44�n�lo�l ( <br /> `�'+� 'i�c .��Mr��c.a�„�7 �4W`�-I�it�c,.� .f��.��lo����. �t� �i ' t� l�'t� <br /> ElecfricalCantrSc:or MallAddnss Clry Slete/�p Phone <br /> �r.�,v l C� ��9. 'C��� <br /> State Lirense Number Contract Prica of Wo�k <br /> � ^�_.l,��L�_�,j;�;vYl � ���� <br /> Propased Use a(bulldfng Contact Person (Plan Revlew) <br /> Gescription af Work to Be Done: �� ��_1�F-�i�i ���1� - <br /> --f— <br /> NO'TE: 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 /> APPROVED PLANS BEFORE CITY OF EVERETT PERdAIT WILL 8E ISSUED. WAC 298-48-140. ALL OTHER <br /> EDUCATIONAL�ACILITIES AND ALL N�;�TH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: -r-1RING IN NON-DWEI�iNGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIi31LITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEFTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF Ti2AVEL SHALL BE MOUNTEb i. MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 310d(c)2. <br /> ENVIRONMENTAL AkD OTHER CONTROL RECEPTHCLES AND OTHER OPERA[3LE EQUIPMENT WITHIN <br /> RANGESIOF WAC 51 20 SEC.SNOB(b)4 E &F AND NOT LESS THAN 36 NCHES ABO�E T E�FLVOOHRN THE REACH <br /> �.— <br /> / HEREBY CERTIFY THAT I HAVE READ AND IXAMINFD THIS APPLICATfON AND KNOW THE SAME TO BE TRUE;.VD CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORD/NANCES GOVERNING THIS TYPE OF WORK WILL BE GOMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GR4NTING OF A PERMIT�OES NOT PRESUME TO GNE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTNER STATE <br /> THIS PROPERTW'Y TO PERF RM THE WORK FOR WH CH APPLICA�ON�IS MADE AAD I COMPLY IMTH T E STATE GpNTRAC ORS LAW 19.27 <br /> RCW AND 296.200 WAC. <br /> T � <br /> ��� '.� 0`v�\Gi.. 1�`,l �C� �S`.).�[ �C\I� FEE <br /> Signature Detd� <br /> �����„ I p� <br />