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RpR-2B-2GJ11 14: 13 FROf9:B0`lEF. ELECTRIC 2063674575 <br /> ro: iazszs�ess� �•='� <br /> � � �,/ � �2 � ,'� �- � <br /> ELECTRICAL PERMI�' APPLICATION <br /> CI7Y OF �VE�t�T7 PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> I <br /> //"2� _.��� - �� 1/ � �� <br /> PROJECT ADDRESS <br /> O�vnor <br /> Meil Addieso Clry SlalelZ!P Phono <br /> � �� � � �5�u-y ',�� L�VcJr�rr�L/l� l✓(�i� V����� <br /> --�-����c� <br /> Ton. t G <br /> Mnil AdArnSs Clty Slai 2ip Fnenc <br /> � �i��i r� �0�3�7 ,� <br /> r o�-�.� D 3d� .��/��, �t 7 Lr�Yl/�cr G1',�/?� �C <br /> ��Y �51elZip Phone <br /> f-1eClri al ontr�ctor Mail Aadrosa L _ � �,i <br /> 2 L�C /�� �-LT contract '�otwork <br /> Siato liconso nLoi � �j <br /> /! G_ �1 G���/�°' _ <br /> Proposod se o(duiltlin9 Contact f'erson lan Rcvie:+) <br /> �escriplion of Work to Ba Donq' <br /> �1�?`LfN� /s� ,✓ Zo ✓s �� <br /> fJ�/</� ���-��/Le.,, —rvrl N /L "i <br /> �`U `✓f/7� /�/��/��'�-- �i�-. ,� GA ii/i�sf <br /> � - Oli ��P��J��/�y <br /> NOTE: PIANS FOR ELEC7RICAL WORK AT EDUCA710NAL, FACILITIES UTILIZING STA�I'E FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICAN7S WITIi SUCH J08S MUST SHOW THE STATE <br /> EDUCA710NAL FACILBITIE�SIANp ALL HEALTH CARE FACILIITIES PLANSIVNLL E REVIEWFD RY THIS OFFI OE HER <br /> NOTE WIRING IN NON-DWELLINGS IS R[QUIRFD TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDIGAPPED ACCESSIBILI'I'Y: ELECTRICAL AND COMMUNICATIONS SYS7EM RECEPTACLES ON WALLS <br /> OFT15I NCHES ABOV[THE FLOORAWA SA20 SEC 83106(02TES OF TRAVEL SHALI. BE MOUN7ED A M11INIMUh1 <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT �NITHIN <br /> RANGESI OF WAC 51 20 SEC.�3N 6 b)4CE& F A DRNO7 LESS 7HAN 36 INCHES ABOVE THE�F OORIN TH� REP.CH <br /> ���I I HEftEBV CERTI."Y TY1AT I HAVF- REAp AND EXAN/NEO THIS APPLICATION ANU KNOW 7NE SAME fU BE TRUE ANP CORRECT A:L <br /> � PROVISIONS OF L!�WS AND ORDINANCES GbVERNING 7H13 TVPF OF WORK Wrt.L BE COMPLG7ED VJNETHER SPEGFIED HL-RL-IN OR!✓OT <br /> THE GRANTING OF A PERM111. OOL-S NOT FRESUh7E 70 GIVE AUTNORITY TO V10LA7E OR CANCEL THE PFOVISfONS OF ANY OTHFR S7A 7t <br /> OR LOCAL LAW RE ULATlNG CONSTRUCTlO1 OR THE PERFORh}ANCE OF CONS�I'�;UC IION. i'-aAT I AM AUTHOR�ZED BY THE OWNER OF <br /> 'NIS PROPER EFFORM THE WOaK R WNICH APP_IC.I7ION/S N.AOE AND I COIAO�Y lt4TH 7HE S7A7E CON7RAC70RS W tN iB.?7 <br /> ldCW AND 29 .00 W C. <br /> I !1✓ �O �� FEE <br /> signaiuro Oatc <br /> e�Ecn �nEvenooi� '����G—j — ��3 <br />