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APPLIC ��TION FOR ELECTRIc� �L PERMIT <br /> cirr oF EVERErr <br /> BUILO/NG D/V/SJON <br /> 3200 CfDAR STREET <br /> EVERETT WA 9B20> <br /> (425J 257-B8>0 <br /> Sa a (�asi� v ��.v O� <br /> PROJECT ADDRESS ' <br /> ?,� / % , ������`'sa--a�'�,�,ea� ���al� , ���d 9f�� <br /> riu�rirc�v �i Slate2p Phone <br /> O�.vne� Med dress ry <br /> ����� �,�/�,�7` �� <br /> Tenant �, � d / <br /> MailAAdress Ciry Stale2ip Phone <br /> �;�:�a )l�' C �G �- IS/S �u�dw,ff� u-�1 , !�°l,f/ d!D•�d� -�d1-O <br /> Eler.tricalContracto� MailAddress Ciry Slate2lp P:ione <br /> i /f,..f�N-��/� — <br /> � "' — � ' Conttact Price o(Work <br /> State l.icense Number <br /> /N� G/ � Contact Person (Plan Review) <br /> roposed Use of Building <br /> �/i <br /> Description ot Work to Be Done:[,lJh� /� " Y��� A � - <br /> 3 6 �,ar-6 ���� — <br /> NOTE: PLANS FOR ELECTRICAL �NORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST �E <br /> APPROVED BY THE .`'iTATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUC�ATIONA FACI BEFO AND ATLLOHEA TH CARE FACIL TIESLPLANS WILL DF REV EWED BY THIS OFFO EHER <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIkED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYST[M RECEPTACLES ON WALLS <br /> OF 15I NCHES ABOV[ THE FLOORA WAC 51 20 SECg3 060 zTES OF TRAVEL SHAL( BE MOUNTED A MINIMUM <br /> ENVIRONMF.NTAL AND Ol'HER CONTROL RECEPTACLES AND OTHER OPERABI_E E�UIPMENT WITHIN <br /> RANGESI OF WAC SE 20 SEC�3N 6 bC4 E 8 F AND N�OT LE3S THAN 36 NCHE SABOVE THE FLVOORN THE REACH <br /> I HEREBY CERTIFY THAT 1 HAVE FEAO ANO E1"AMINED THIS APPUCAiION AND HNOW 7HE SAhIE TO BE TRUE AND CORRECL A« <br /> PROVISIONS 0(-LA WS ANO OROIN.4NCE5 GOVERNING THIS T1 PE OF WORK W7LL BE COMPLETED WHETHEN SPECIFIED HEREIN OR NOT <br /> THE GRANi/NG OF A PERMIT DOLS NO i P,4ESUME TO GIVt: �7 U7NORITY 70 V10LATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> 7HI5 P40PERr1'OUPERFOR �HESWO hr�O Wf1lCH APPUCA�ONCIS MADE AND�COTM1iP�S'lL'ITH/iHF STATE COND ACTORS LAW RB 27 <br /> RCW AND 296100 WAC. <br /> / �/I <br /> (J ��---J .�l 5"/i� FEE <br /> Signature Dale <br /> c�e:�nieeveoei � �1 � _ � i �� <br /> �'- ' <br />