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�LEQ�'RICAL PERMIT �'�9�LIC�TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEUAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FA.X 425-257-8857 <br /> 211 � K/f� � A-VE (f25�� <br /> PROJECT ADDRESS A��; � 0-��'9 <br /> ��a�! ! MqRLI �NkIN S ZI �� $�R ih� ��T , I�U �rr �— <br /> Ownei <br /> Mail Addiess City SditelZip Pione <br /> S�y�.t� /�S /d'B�V� <br /> Tenan� <br /> Mail Atlaress Ciry Ste�a2lp Ph�na <br /> �a�,1 S�r�ir�s 21��- 8,91�fz -du� �U� G✓✓�l °�° 20 ! �i'2S ��-Go� <br /> Electncal Contraclor <br /> Mall Address City SlataZip P�1e <br /> Stale License Number Canlract Price of Work <br /> Proposed Use of Building Contacl Parson (Plan Review) <br /> Des�ription of Work to Be Done: ����VI C� �Nil I�Gi� OV� �2. �� �— <br /> fJOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING ST,>TE FUNDS MUST BE <br /> APPROVED BY Th1E STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MU£T SHOW THE STATE <br /> EDUCATIONA FACILBIT ES AND ALL H�EALTH CARE FACILITI SIPLANS WSLLEBE REV EWED BY THIS OFFICE.HER <br /> NOTE: WIF�NG IN NON-DWCLLINGS IS RE�UIRED TO BE IN RACEWAYS,MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 16NJCh ES A80 E THE FLOOR.AWA 51A-20 SECI 3106(�ZTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIROP�hAEiJTAI AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�N 6�b)4CE & Ff ANDF OT EE S THAN 36LINCHES ABOV�E THE�LOOR,IN THE REACH <br /> ! HER[9v CEFTIi�� 7HAT I HAVE READ �7ND EXAMINED THIS APPUCATION ANO KNOW THE SAME TO BE TRUE AND CORREf,T. ALL <br /> PROV/S!ONS OF LAWS AND OiiDINANCES GOVEFNING THIS 71'PE�F WOFK WILL BE COMPLETED WHETHEA SPECIFIED HEHEIN OR <br /> NOT, The GRANTING OF A PEFN.IT pOESNOT PRESUME TO GIYe AUTHORITY TO VIOL4TE OF CANCEL THE PROVISIONS OF ANY OrHEF <br /> ST.47t OR L'JCAL lAYV REGULA MG CONSTRUCTION OR TH!c PEFFORMANCE OF CONSTFUC710N. THAT 1 AA1 AUrHi7°�ZED BY TFl[ <br /> OVlNER OF THIS PR�PEflT1' O PEflFORM THE WORK f�/i WHIGH APPLICATION IS MADE' AND 1 COb1PLY 'N�� � 'NE :rTATE <br /> CON7FACiORS LAW iB D H AND 296.200 WA j. _ <br /> � � <br /> ,'� � -� � � �o y FEE � <br /> � ^Sig�aWr I Dete <br /> DEBIT&CAEDITCARD5�A9ENOTACCEPTED [U30�-� -117 <br />