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i <br /> ( . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERAMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT.WA 98201 <br /> 425-257-8810 - FNC 425-257-8857 <br /> �� I G ��f�C1C� �.'Ct u �-,�,_ <br /> PROJECT ADDRESS � <br /> �IYY�I '���iii�l��1-�1 1� C1'�d 13(;G;1:� �Uer"t'1`� L.Ufl C��Z��'n -1�]''�7Lb <br /> Owne� Mail Address Cdy Slale2�p PMne <br /> � Nc d <br /> Te ant Meil Addmss City SlalelZip Cyh��� <br /> I <br /> �� 11'LZ►�hn �/ c�ir' � 31c15- 131"'�Sf..S.V,!-�l� rNi-��u�:rx% uJJ�.���� 74Z-a�� <br /> Electriwl Conlrac,of <br /> Meil Addrees Ciry � SlalolLP Phona <br /> �'1�1A���0�� - I,;ZG��. �Y� <br /> Stale License Number Conlrecl Pnce of Work <br /> ✓I�l i'/��r(� v/ / �CPS' <br /> Proposed Use of�wlding Contacl Person (Plan Review) <br /> Description of Wurk lo Oe Done: <br /> ���}'ml� �i n�/� l"/Kc-� T'�%�(/7 0�l�C'/� <br /> t <br /> NOTE: PLANS FOR ELECTRICAL WORK AT [DUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY TH[ STATE Of WnSHINGTON. APPLIClWTS WITH SUCIi JOBS MUST SHOW TH� STAT[ <br /> EDUCA IONAI FACILBITIES AND ALL HGALTH C E FACILfITIESI PLANSIWILLE E REVIEW D BY THIS OFFICE HER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO B�IN RACEWAYS,MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYST.EM RECEPTACLES ON WALLS <br /> OF 5'NCH[S A OV[T ECFLOOR AWAC 5120 SEC B3jp6(OZTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHCR CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGEB OF WAC SE 20 ECLON�G�b�l E 8 FI AND NOT LE S THANV 6LINCHES ABOV�E THE�F OORIN THE REACH <br /> 1 HFREOY CERPFY THAT 1 HAVE READ AND IXAMfNED THIS APPLICAT70N AND XNOW THE SAME TO(3E TRUE AND CORREC7. ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING Tf11S lYPE OF WJRK WILL 8E COAfVLETEO W1IETHER SPECIFIED I1EkElN OR N07, <br /> "� TNEGRANTINGOFAPERMITDO[SNOTPRESUME70GNEAUTHORfTYTOVIOLATEORCANCELTHEPRQVISIONSOFANYOTIfERSTATE <br /> ���' OR LOCl.L V�W R6GUL.ATMG CONSTRUCTION OR T/iE PERFORMANCE OF CONSTRUCTION. T,�AT 1 AM AUT110R2ED BY THE OWNER OF <br /> �� iH15 PItoPERN TO PLRFOFbI THE WORK FOR IYHICH APPLICATfON IS MADE AND 1 COMPLY WITN 7HE STATE CONiRAC70RS LAW 7817 <br /> '� RGW�NO79G20(,t1�AC. <br /> �" �/ o��I�>��� FEE <br /> Signalufe Dale <br /> .+ <br /> EtECaPIf2Evfl@o01) ;' - <br /> � �� '����� ✓� <br /> �'I. L.l •� J <br />