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NOV-8-2004 07:1c FRO"1: ��._::4=5�5't8857 P.8 <br /> ELE�TRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES t! �g-c5c� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-B810 • FAX 425-257•8857 tr0 y// �-D� <br /> �sZZ C�(6y �4-ri-C, <br /> PROJECT ADORESS • (.��Z ��6[.y �t/'� �� � <br /> D vt� ! l� .e �•J <br /> Owner d Address Gry StetelZp Phone <br /> Tenanl Meil Addiess �,,���d�lce Smte2ip Phone <br /> (�� �u�u���ce�' .Ce�-Ka w-. 96�9 f zo� ��-s/�x,e� <br /> Eledrieai Contractor Mell Adtlren C ry state2�p P!�+e <br /> � � ,.d..P! � �� '�r' '"] t U/.� ��` � <br /> � �� �� <br /> State Licenso Numbor Joniract Prico ol Work <br /> L-r�cd� ?� <br /> Proposed Us�f 8uilding Contact Per on (Plen Revlew) <br /> C�Z�' ? 7D `3z�d' <br /> Descr�plfon of W ork to Re Done: —� <br /> �� �-�,_ 1 �sctt�p C_tr«� � 1/61/ � ��/�lycP <br /> �� <br /> NOTE: PLAN� FOR ELECTRICAL WOHK AT EDUCATIONAL, FACILITIES UTIU�ING STATE FUNDS IdUST 6E <br /> APPROVED E;V THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> tUUCOAiIO�+AL FACI eE�O AND ALL H�EALTH CAfiE FACILIITI SI PLANS WSL EBE R V EWFD BY THIS OFFI OTHER <br /> NOTE: W IRIMG W hON-DWELLINGS IS REQUIRED TO BE IN RAC[VJAYS, �dC uR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: EL[CTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS i <br /> OF 15I NCHES AB'O E THECFLOOp.AWAC 5120 SEC13106(Oz TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTRUL RECEPTAC�ES AND OTNER OPERABLE EOUIPMENT WITHIN ' <br /> RANGES OF WAC SE�0 S C�3N 6(b)4CE 8 FI AND OUT L SS THAN 36LINCHES ABOV�EUTHE�LOOR.IN THE REACH I <br /> I HEFEBY CEFT/FV 7HAT/ NAVE HL.4O AND ERAMINED 7HI5 APPL/CATION AND KNOW iHE 5AME 70 9E TRUE ANO CORRECT ALI. <br /> PROVISIONS OF LAtYS AfJD OFDINANCES GOVERNfNG TH/S TYPE OF WORK WILL BE CONPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE 6RANTING OF A PEFNIT DOES NOT PRESUME TO GIVE AU7HOFITY 70 VIOUTE Ofl CANCEL THE PROVISIONS OFANYOTtfER <br /> OWIJEA OF�iCHIS PFOPERY TO PER�OFMU7HE tNOFKTFOflEWH�GH APGLICATION�SAMAOE ANDH�COMPLYUWI�H'ZTHE�S'iaiE <br /> CONTFiACTORS LAIN iB2'RGLV AIJD 296.700 WAC. <br /> y� , - „ec / G /_ i�l�J�n /� FEE �, <br /> /I )(iatLc �J'1�1 c � � _�.1" <br /> Signature Dale �— <br /> DEBIT&CREDIT CAFDS ARE NOT ACCEPTED <br /> ,�_.. <br /> � `i �i -.�� , <br />