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ELECI rtICAL PERMIT <br />APR- �ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PROJECT ADDRESS <br />Owner <br />� ����� �', <br />��� <br />���,\ /`L L? ��.lr'C�'1 <br />Mail Address <br />i� �?'1` �- <br />Tenant <br />jL v L L�=cr�'t-�C <br />Electrical Contractor <br />Mail Address <br />C' v �2� <br />Mail Addre:s <br />�1I C,LGC �"' ��I%Z-t'.� <br />State License Nun.ber <br />C' . �..�_t J" C h <br />Proposed Use of Building <br />Description of Work ta Be Done: <br />,� F� `� i-c.c ✓�' <br />2�u � <br />Ciry <br />2� l I-4 a �� <br />�-+�_�-_ -;--�- <br />State/Zip Phone <br />/a—i.� rr'./�:�� _ <br />Ciry <br />70 S3 zi �Z S � �✓fi'G'1� <br />City <br />, nr ,a-rr_ . �S �.i: � � C �1 <br />State2ip <br />,,�q 9�S z�s� <br />StatelZip <br />Phone <br />���i �C%� <br />Phone <br />f �JC"J' OG'� - <br />Contract Prico of Work <br />Contact Person (Plan Review) <br />0 <br />APPROVED BY T�E STATEROF NH�HINGTONDUFlPPLI�CANTS A'dITH ISUCIi IJO SGMUST SHOW THE�STABE <br />EDUC�AT ONAL FACILBITIE�S ANQ ALL �rALTH CAFE FACILIITIES` PLANS W ILL BE REV EWED BY THIS OFFICE. HER <br />NOTE: WiFING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />WITNIN ACCESSIBLE SPACES OR ALONG IACC SS BLE�ROUTEIS OF�TRAVEL SHALLBE MOUN ED OA MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL FECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RANGESI OF WAC SE 20 SEC. 8N06(b �CE & FI ANDRN�OT L SOS THAN 36LlNCHES ASOV�EUTHE F O/OR IN THE REACH <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINEU THIS APPLICATION AND HNOW THE SAME TO BE TFUE AND CORFECT. ALL <br />PROVISIONS OF LAWS AND OFDINANCF.S GOI�EFNING THIS TYPE OF WGRK WILI BE CO�dPLETED WHEiHEA SPECIFIED HEAEIN OR <br />S�ATEOR LG ALJG�OFqCGUFM1���IN ���N� nU TION CR� HE PERFORMANCE 0�CON �FUGT ON.L THAT I��h1f AI� HOP.2ED BY THE <br />OWNER OF THIS PFOPEFTY TO PERFOFM THE IVOFK FOF WHICH APPLICATION IS M11ADE AND 1 COMPLY W17H THE SiATE <br />CONTFACTORS U1W 18.27 FCW AfJD 296.20C WAC. <br />� /-n`-'("_-1.t � --- <br />SigraWre <br />DEBIi & CREDIT CARD5 ARE NOT ACCEP?ED <br />� _ -� . ��t FEE � <br />oace <br />� �J�iv`f'��% <br />