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Jul 27 04 07: 42a P' 1 <br /> ELEGTRIC�AL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � `�7�� <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857 �p yo7— � <br /> y25 <br /> ��,,� 13Ao.�Uw�' 3� _ <br /> PROJECT ADDRESS _ p�'G <br /> I2bGF.n G�krc �o�� RILoq.�G�1�Y IiFf1g/7 IP�T 9�avl a �rr <br /> Owner MaNAOEress Ciry State/Zip Pnone <br /> ?enant Ma�l Adaress c�ry Staterz�p . yi�^e <br /> �rg <br /> � � A „���. i v�S 3G�� 3�tn��w���' 6"✓fc'��% ��.�cs� ��i - <br /> EIecT a�ontraClor tdaA Address City State�Zip Ph� <br /> a <br /> �''��4,c�.r'f ���. Lh Z�.�ao `— <br /> State License Number ConttaCt Price ot Work <br /> e��������� � CcnlactPerson (PlanReview) <br /> Proposod Use ol Building <br /> Description oi Work to Be Done: <br /> . ,�. ��hurc� Cs 1 <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCP.TIONAL, FACILITIES U7ILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCA IONAL FACILDITI 3 AND ALL HOEALTH CARE FACILITI SI PLANS WSLL BE REVAEW ED BY THIS OFFI OTIIER <br /> NOTE: W IRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS,MC OR AC CABLE. <br /> HANDICAPP[D ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5 NC iES ABO E THE FLOOR. WAC 51�-20 SEC 3��g�02 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> E(JVIRONMENTAL AND OTHER CONTROL RECEPTACLtS AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 51 20 S C�N06(b)4CE& F'ANDRNOT E SS THAN 36LINCHES ABOV�EU HE�LOOR IN THE REACH <br /> / HEAEBY CEATIFf' tHAT 1 HAVE FiEAD ANO EXAMINED THIS APP�JCATlON AND KNOIM1' THE SAPAE TO BE TRUE AND CORFECT. ALL <br /> PfiOVlSlONS OF LAWS AND ORDINANCES GOVERNING THIS iYPE OF WORX INILL BE COM11PL£TED WHEiHER SPECIFIED HEREIN OF <br /> NOT, 7HE GFANTMC+OF A PEFIdIT DCES N07 FRESUME 70 GNE AUTHOFI7Y TO V10UITE OA CANCEL 7NE PROV1570NS OF AIJY OTHER <br /> OINJER OF�THAS PFOPEFTVA70 PER�OFMUiHE INGFKT FORENH�CHI�APPLICATION�5 Ml.DE ANOHACGMPLY TWITH'THE STA'fE <br /> CO(JTAAC i CRS L5 W 78.27 F+CW AND 296.2A7 IYAC. <br /> �� 7 ; � FEE r6 2 0� <br />�:';i:� slanetur nete <br /> DEBIT&CHEDIT CARDS ARE NOT ACCEPTED i7ft I�� I.�� � � I G I S <br /> �- . <br /> � � <br /> —� - ( � ,' <br /> . �. / <br /> ,� <br />