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APPLIC�(1QN FOR ELECTRICAf� PERMIT <br />CITYOFEVERETT <br />BUILO/NG 0/VlS10N <br />3?00 CEDAR STREET <br />EVfRETT, WA 9B20f <br />(415J 167-8BJ0 <br />i � <br />i.�1 �r G t 7 ��.i.:ei . I. <br />•�• •��• <br />Address Ctly Stale/Zip PAone <br />� — � � — r. _ <br />I.i � '�=1S+i7L.i��-[%r�.�-�� �. � -_ -' — — _ _ <br />Tenent <br />MallAddrcss <br />Contrador MapAddrasa <br />SSSlC�L -3o30n/ <br />State License Number <br />�c>�— <br />Proposed Use of Building <br />City <br />CMy <br />State/ZJp <br />Stale2ip <br />R m� <br />ontract Pri e ol Work <br />,�n Y STa/'�2. <br />Conlect Person (Plen Review) <br />110M <br />PAar <br />q <br />Description of Workto Be Done: „� -,� Z 28 /���L/ G%/�iuti� L�c � F'���U �/G� R1S <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 />EDUCAT ONA FACIUTIES AND ALL HEA TH A E FACILITIES PLANS WILL BE REVIEWED BY THIS OFF CE. ER <br />NOTE: WIRING IN NON-DWELIINGS IS REQUIREO TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: FLECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 1b NCHES ABOVE THE FLOORA WAC .1 20 SEC. 3 06(c)2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLE� AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC 51 20 SEC.�3N06(b)4 E 8 F AND NOT LESS THAN 36 NCIIES A OVE THE PLVOOR. THE REACH <br />I HEFEBY CERi1FY THAT I HAVE FEAJ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE 7RUE AND CORRECT. ALL <br />PROVlSIONS OF U1 WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR N07, <br />THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUiHOR1TY TO VIOUlTE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br />THIS PROPER� Q OGPERFORM � ESWORK FOR WHICH APPIJCA�ON IS MADE AND 1 COMPLY WITH THE STA E COE RAC ORS WER8.27 <br />RCW AND 296.200 WAC. <br />Signature <br />EIEGry�EVYI) <br />�r- <br />Date <br />FEE 2� � <br />vLJ <br />�c�/d� G29 <br />