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','�.iy. :. �!":�u 11�: 7ir�1�1! EOw� = [lE;trl : _5rvit' b `,CGC �Iy V'[�. <<J''� � ', <br /> FEB-19-03 WEU 10:15 Afl � :RETT PERflIT SERVICES FRX N0, � 257 BB57 N. u2 <br /> ELECTRICAL PERMIT APPLICATION <br /> �� CITY OF EVERETT' PERMIT SERVICES <br /> 320o CEDAR STREET, EVER�TT,WA s8201 <br /> 425•257•8810 - KAX 425•257-8857 <br /> 5 -�-o <br /> �o gos-o�y <br /> PpO,IECT MpRESS �G 25 S� �,,e.- �k(%� �d - �ve�-e�'+- <br /> QWner Maii Addteu G�p' Shta2ip PhoM • <br /> M Qr}'�n �jv'iCSCY ��� S��dC�' �t� Ra. CvC+tf4' W� 982oL gz5-_346-248F <br /> ToMnt Aun a�dreu Gy S�ta2ip Phona <br /> �oW� z Li�c��k �z3z �v �.M�r�'�,>rsr� F �4rr�c __�✓� gB�o� zab.�x9-�� <br /> FloctAWl ConUactor MM Address ��4' �t�'D P�'° <br /> (�OWiG �5 oih DE � �i�Og <br /> tata llcense Number ContraC,Pneo of Work <br /> S,� �� F rn;�� I�esi,�e.�Cc. <br /> �opose se ot dullding CoMeet Parsen (Plan Reviaw) <br /> Descriptlo�of Wark lo�e Done: �(?p�! L 2. ���Nr Se��� ,��Q nP� <br /> l <br /> NOTE: PIANS FOR ELECTRICAL WORK AT EOUCATlONAL FACILI7IES UTILIZIN(3 STATE FUNDS MUST BE <br /> APPROVED BY TI1E STATC OF WASHINGTUN. APPLICAN�'S WITH SUCH JOBS MUS7 6HOW THE STATE <br /> qpPROVED PLANS BEFORE CI7Y OF EUERET'f PERMIT WILL BE ISSUED. WAC 296-46-1�0. ALl OTHEF <br /> EDUCATIONAL tAClLI71ES AND AI.I.HEALTH CARE FACIIR'IES PLANS WILL BE REVIEWED BYTWIS OFFICE. <br /> N07E: WIRING IN NUN•OW[LLINGS IS RHOUIRED TO��IN HACEWAYB,MC OR AG CABL�. <br /> HANOICAPPC� ACCESSI9ILITY: EI.ECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OFT 5�NC 1ES ABOVE 7}E FLOOR.AW C b120 SECI 31G��0�TES OF TRAVEL SHALI BE MOUN7ED A MINIMUM <br /> ENVIFONMEN7AL AND''OTHER CONTROL RECEPTACl.ES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> AGCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEI SHALL BE MOUNTED WI7HIN 7NE REACH <br /> RANOES OF WAC 51•20 SEC. 3106(b)4 E 4 f AND NOT LESS TH1W 361NCNES ABOVC THE FLOOR. <br /> 1 hiER�'BY CEA7IFY 7NAT��{AVE RGAD AND EXAMINED 7i1(9 ACPLIG4T10N AN�KNOW TME SAME TO B6 TRUE ANO COARSCr ALL <br /> PROVISIC.Nu OF UV15 ANO ORDINANCE3 QOVERNING 7MI5 T'PE OF WORX WILL OE COMPLFfED WHETHER SPEGYFIEO HEI7EIN OA <br /> N01 THE GFiAMINc�OF A PERMIT DOE3 fJQ7'PReSUA�P TO GIVE AU7NGfilTY TO VIOUTE OR CANCEL 771E Pfl0V1SI0NS OFANY OTNER <br /> Ol1�N[R�OF�S Pfi0 E 7Y 70�PE�ORMUTHE N'O K Ft�R�47+ICH APPUCAi70N�5�MADE ANC I G MPL Wl?tl TifEs&TA7E <br /> COfJ�A%.CTCASNIV IflZ7ACWAND29o".2M1 WAC. <br /> �l`�'���,-f�7"7 ( i1�U.�,Y/i1 vr-b- o� FEE <br /> �-�-- ��--�-�—�, <br /> 6ianaNrC Dat� <br /> E�GF�atv erzaoy j7 <br /> J�'S--'� <br />