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3�sa -.3�f�3 <br /> ELE'.,TRICA� PERMIT �C.�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257•8810 - FAX 425-257-8857 <br /> ��'�E�/ �9r� EL 8 � -S�5-o3 l�i,vr fi'fI�JGF.-�'. <br /> PROJECT ADDRESS <br /> �...:.,, �i� �xa�o7 ��� � �8��a�� �z�-��ai�� <br /> Owner Mell Addreaa �M Sle�elZ�P Phone <br /> Tenent � Mall Addrese Ciry S�a�e/Z�P Pho^e . <br /> ����'�'�� �� ��,� y� �1���,;��� �,� 9sa��- �a.�-a� a67� <br /> ElecMcel CaNractor Mail Addresa Ciry SlatelZip Phon'e <br /> �E•UEiC(����1�� cono-a�'�7fc��w�or� � <br /> Stete Licenae Number <br /> 1 ��.',//�J <br /> propoae�uilding Contect Person (Plan Review) <br /> Description of Work to 8e Dcne: '_��� � Gf� ..����/1����Le�/!/O�� _ <br /> -�`-;�`�'' S .z <br /> NOTE: PIANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS M <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EGUCATIONA FACILBITI S AND ALL H�EAETH CARE F!'�CILITI SIPLANS WSLL BE R VAEWED BY THIS OFFICETHER <br /> NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPEO ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5�NCHES ABO E THE FLOOR. WAC 5120 SEC 3106(�p TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE3 OF WAC 5E 20 SEC.SN 6(b)4CE& FI ANDR OTTL SS THAN 36LINCHES ABO EUTHE�LOOq IN THE RkACH <br /> I HEREBY CEP.TIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AfvD KNOW i HE SAME TO BE TRUE AND COFFECT. ALL <br /> PROVISIONS OF LAWS ANO OFOINANCES GOVERNING 7H15 7YPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OF <br /> NOT, THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL TNE PROVISIONS OF ANY OTHER <br /> STATE OF LOCAL LAW FEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY 7HE <br /> OWNER OF THIS PROPEFTY TO PERFJFM 7HE WORK FOF WHICH APPLICATION IS MAOE AND 1 COMPLY WI7H THE STATE <br /> CONTNACTORS LAW 18.<"7 FCW AND 296200 WAC. <br /> /�-n�lt,�, � ``'--'Z�-f� ��-I�F'�D� FEE�� �D <br /> Signalure Dele <br /> Ea 3 �d-�fo3 <br /> ELECAP�REV B2W�) <br /> � <br />