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1 <br /> ELECT�.ICAL PERMIT APF �ICATION <br /> CITY OF EVERETT PERMIT SERVICES ". <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 42F�257-8810 - FAX 425-257-8857 <br /> ; <br /> ; <br /> 4 <br /> � <br /> � d � � � ���� � E <br /> , <br /> i <br /> PROJECT ADDRESS S <br /> Ownef Meil Address <br /> Ciry stetelZip �10"B . <br /> l � ,�o s u o r3 �h- � , - ad r �ts�-�.31 r : <br /> �4� ' <br /> suu2ip �"' ' <br /> Meil Add:4ss �m t <br /> Tenant � -� � q ��0� �� i <br /> t — �i•ic i <br /> SLte2ip �� i <br /> Mail Address Cily p <br /> Elect al Contractor ab } <br /> � <br /> Stet��� �f c c �f�Z.� P Contrect rice of Work y <br /> nse Number 1 <br /> 3 <br /> �i�]�n 2 ti� CoMect Pereon (Plen Review) ' <br /> t <br /> Proposed Use ot Building r � <br /> � 1� r'he cs�.�a vt� b Cv c � � � � at c� <br /> Description ot Work to Be Done: 'U� ,p2� � „(/_ ,,,(, �S <br /> � � (� �—� l L� T2�10 /I 1 Li J "� �L rN�i <br /> APPROVED BY HE STATEROF WASHINGTONDUAPPL CANTS WITH ISUCH IJOBS MUST SHOW THEUSTABE <br /> EDUC�ATIONAL FACILBITI S AND ALL�EALTH CA FACILITI SI PLANS WSLLEBE REVAE�NED BY�S OFFICE.HER <br /> NOTE: W IRING IN NON•DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5I WC ESSABOVE T ECFLOOR.AWAC 51A-20 SEC 3106(�2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.SNO6(b)4CE &FI AND NOT LE S THAN 36 INCHES ABO EUTHE�F OOR�N THE REACH <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TH�S APPLICATION AND KNOW T1'�E SAME TO BE TRUE AND COFRECT. ALL <br /> NOT,THE GR�NTING OF A PEqMIT DOES NO�PRESUME TO'GI EPAUTHOFl�7Y TO'VIOLATE OR CANCE THE PROVlSIONS OF ANY OTHER <br /> OWNER OF�THAS PFOPERTY TO PERFOAMUT E�WOFK�FORENM�CH APPLICA ONNSS MADE AND 1�COMPLYUWITNR'TME STATE <br /> CONTRACTORS L4W 18.27 RCW AND 296•200 WAC. <br /> FEE I ��� <br /> ete <br /> SignaWre <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED f(y�I.OS-G25 <br />