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ELEd �'RICAL PERMIT A� �LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />2 �o s l¢ �ah��./k-N �� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />E��RunEA. S� <br />Electrical Contractor <br />Meil Address <br />Mail Address <br />Mail Address <br />�G�/4/USS / �j L1� — <br />State License Number <br />Y� <br />Proposed Use of Building <br />Ciry <br />City <br />City <br />y��o� <br />Stete2ip <br />StatelZip <br />/�w <br />StetelZip <br />Contrect Pdce of Wark <br />- 3SS-oziL <br />Phone <br />Contact Peraon (Plen Review) <br />phone <br />Phone <br />Description of W ork to ee Done: %Z,I! A.i Al�u V 1��FLA- e«'-b�� ��,(f � kp(�'U A 2� <br />G Lr �IyU � � K�Mo6 f 'N $� ! �c! G/1.u�.JG� .�PeK� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUCATIONA FACILBITI S AND A L�EALTH CARE FACILITI SI PLANS WSLLE E REVIEW D 6Y THIS OFFICETHER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 15 WCHES ABOVE THECFLOOR.AWAC 51A-20 SEC 3106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />-NVIRONMENTAL AND OTHER CONTRGL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />R,CINGES OF WAC 5E 20 SEC.�N 6 b 4CE 8 F� ANDRNOT L SS THAN 36 I CHES ABO EUTHE D�R IN THE REACH <br />__........_ ....,. �,..r�.,.� ..�� vinw rwc .cauF TO BE TRUE AND CORRECL ALL <br />I HEREBY CERTIFY THAT 1 HAVE <br />PP.OVISIONS OF LA WS AND ORD� <br />NOT, THE GAANTING OF A PERMI' <br />OWNER OF�THAS P O ERTY T� <br />CONTRACTORS LAW 18.27 RCW A <br />f/ <br />� Signeture <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� THIS <br />THIS ' <br />/O/i <br />4UTHORIZED BY THE <br />y WITFI iHE STATE <br />�— FEE 3s � <br />Eb 3�o-G�3 <br />