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ELEQ �RICAL PERMIT �r PLI�'ATION <br />CITY OF EVERETT PERI'dIT ��RViCES <br />320G GEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�0 309 -o� z <br />PROJECT ADDRESS <br />�4ni/y /1�IR2/e /-�2�e� <br />Owner <br />Mail Addre�s City State2ip Phune <br />Tenanl <br />Electrical <br />Mail Address <br />Mail Address <br />C� iv,�P ��zz��' <br />State License Number <br />�('.$/Q' e r�S.� <br />Propased Use of Building <br />City <br />Ciry <br />State/Zip <br />State2ip <br />�' 3 yvo - c-� <br />Contract Price of Work <br />%�=aCRY kvSfrv�o-%�^� <br />Contact Person (Plan Fieview) <br />Phone <br />Phonc <br />Description of Work to Be Done: /�cX_!e� SC' �rui�-e r��0. � � ��a �"�- � l"' �"� � �- ��� T"5 <br />l� r<e�ep��i��e - <br />`r� — /n�.�c � ��c�c r (�JU v :�✓i�'v� _ <br />�a?l, f-Pe�� i - F��V, _ G-�ryG.i- <br />NOTE: PLANS FOR ELECTR!CAL WORK AT EDUCATIONAI., FACILITIES UTILIZING STATE FUNUS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUCATIONAL FACILBITIE6 AND ALL H�EALTH CARE FACILITIES� PLANS WSLLE E REV EW cD BY THIS OFFI �� HER <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 5I NCHESS BIOVE THE FLOOFl.AWAC 5120 SEC13106(02 TES OF TRAVEL SHALL Bt MOUNTED A 611NItv1UM <br />ENVIRONMENTAL AND OTHER CUNTROL RECEPTACLcS AND OTHER OPERABLE EQUIPiNENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIE3LE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51•20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTlFV THAT I HAVE F'EAD AND EXAM;NED 7HIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVI F�OGR�NT NG OF A PERM�IT OOES NOT PRESUME TO GI EPA �HOF�TY TO VIOLA E�ORPCANCE � HE PqOVIS10NS OFANflOTHEF <br />NOT, <br />STATE OR LOCAL LAW FEGULATING CONSTAUCTION UR THE PERFOFMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY Thi <br />�ONT AC�TORS'LAW�8.27 RCW A�ND 296 200 WAC.E WOAK FGF 'NHICH APPLICATION IS MADE AND 1 COh1PLY WITH THE STATE <br />FEE <br />� io - O <br />Dnte <br />DEgIT & CREDIT CARDS ARE NOT ACCEPTED ��%3G'-�`� a <br />