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ELECTI,ICAL PERMI T sER cESATION <br /> CITY OF EVFRETT PERM <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-SA57 <br /> �3 z � �,-�-q ��'_ c'�'A1 <br /> PROJECTADDRESS � �Q,�1� �_ C�1g7o3 353 ?j0$� <br /> i/�w a �� <br /> ��V\q �OQc�ti 5 �- Statn2ip Phone <br /> Owner <br /> Mail Address ��ry <br /> State2ip Phone o <br /> Mflll Address ���Y � 3(00 �D�/ <br /> Tenant u� z 3 S <br /> �3fa�,�b��N �"."� 3 ��9 �C'�. l�� State2ip Phone <br /> Mail Address Ciry <br /> Eleclrical Conlractor /��Q � <br /> �j G¢G�r r 9�Z 9� CoNract Price of Work <br /> State License Number <br /> � � � � — Contact Person (Plan Review) <br /> Proposed Use of Building <br /> Description of Work to Be Done: /-f � <br /> 3 ?c(X✓ 7C)IGS -� G /2' �U'r <br /> Go� �'cs�.� — 3 z,� <br /> APPROVED BY T�E STATEROF WASHINGTON�UAPPL�CANTS WITHISUCHIJO SGMUST SHOW T EUSTATE <br /> EDUC�AT ONAL FACI L B ITIE3 AND ALL�HEALTH CARF FACILITI SI P L A N S WSLLEBE REV EW ED BY THIS OFFICE.HER <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> WITHIN ACCESSIBLE SPAC S OR ALONG IACCESS B E�ROUTEIS OF TRAVELSSHALLBE MOUNTED � MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 S CLON06�b�4C�&FI AND NOT LES�S THAN 361NCHES ABOV�EUT E�F OOR IN THE REACH <br /> I HEAEBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS APPLiCAT10N AND KNOW THE SAME TO BE TFUE AND COAflECT. ALL <br /> pFOVISIONS OF LAWS ANO ORDINANCES GOVEflNING THIS TYPE OF WORK WILL BE COMPLETcD WHETHEF SPECIFIED HEAEIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO'+'IOL4TE Ofl CANCEL THE PflOVISIONS OF ANY 07HER <br /> OWNER OF�THAS PFlOPERTYATO PER�ORM 7HE WORK FOREWH�CH APPLI�ATON fSRMADE ANDHACOMPLYUW�7H/THEBSTA7E <br /> CONT.4ACTOR5 LAW 1827 RCW�AND 296.200 WAC. <br /> ���� �IZ�/O� FEE <br /> Dato <br /> Signature <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br />