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APPLIC�ITION FOR ELECTRIC ,L PERMIT <br /> ClTY OF EVERETT <br /> BUILD/NG O/VlS/ON <br /> 3200 CEDAR STREET <br /> EVERE7T, WA 9820> <br /> (425J 257-8810 <br /> �='�����( �C�<6�',C-Ec—� � � r `��k�,I��.C`� , �=�-�� ��c��'�� <br /> PROJECT ADDRESS ` <br /> OW�e� MailAddress City Slale2ip Phone <br /> �J N�C�k-�tVl l�lT �-C� c�j�i�'1 �CtiF'd�'i(«Vl �-�',�-/ �UC(QF�`� �L�.d Cl��n��. <br /> ��ti'ti��tii <br /> Tenant MaitAddress City Stalel7Jp Phone <br /> �Cf-ly(� �1 �1-t�LR v'�'1 \�`�� —`' — �.rY�'� . �[�c,yF�L- � 'RSA `lu�t-IIY, �� ' j� �'��. <br /> Electrical Con actor MalAddress Clry Slate2lp Phone <br /> '7 Z Ls c-o <br /> �i� F�'�Ft� 2�2 L �� Contreo.P Ice of Work <br /> Stale License Number <br /> , �2f (dc� -6��o <br /> �E' ����'h ��t►�ck/ �QG� J <br /> P�bposed Use of Building Contact Person (Pfan Review) <br /> Descrlptfon of Wark to Be Done: {�'���'Di' � `�� 'P �� C�n � � b�-� ��n� �' "—�.---- <br /> _ . . . . <br /> � � `�- A ^- � -{t <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCPTIONAL, FACILITIES UTILIZING STATE FU�DS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCAT ONA FACILBITIES AND ALL HEA TH ARE FACIL TIESLPIANSI WILL BE REV EWED BY THIS OFFO EHER <br /> NOTE: WIRING IN NON-DWELLINGS IS R=4UIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON VJALLS <br /> WITHIN ACCESSI9LE SPACES OR ALONG ACCESSIBLE ROUTES OF TR.4VEL SHALL BE MOUNTED A MINIMUial <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC SE 20 SECLON 6()4 E &F AND N T LESS THAN 36 NCFfES A O�E THE F`LOOHRN THE REACH <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAM/NED THIS APPLICATION AND KNOW THc SAME TO BE TRUE AND CORRECT. ALL <br /> PRpVI5i0N5 OF LA WS AIJD ORDINANCES GOVERNING THIS TYPE OF lh'ORK W1LL BE COMPLETED WHETHER SPECIFIED HERE/N OR�JOT. <br /> TH6,GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV1SfONS OF ANY OTHER STATE <br /> OR L CAL 41W REGULAT/NG CONSTRUCT(ON OR THE PERFO.RMANCE OF CONSTftUCT10N. TNAT I AM AUTHORIZED BY 7HE OWNER OF <br /> TNIS OPERTY TO PERFORM THE WOftK FOR WHICH APPLICATION IS 1AADE AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 19•21 <br /> RCkYA 29��'ZOO WAC. <br /> � � <br /> � <br /> � �� \, o' 1-- ?— �1 : � � FEE �� � S <br /> L <br /> Signature Date <br /> ELEGP(PWW) /- ���I / � O � / <br /> Y- <br />