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EL�"�TRICAL PERMIT 1PPLICATION <br /> , CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> "�OI SmrrN f�l'C-. - �m �10 <br /> PROJECT ADDRESS <br /> C , ,s�� a�� C�o�s-4 ���-, c��a4'S�u � <br /> Owner !��U��l,� �{�+atl Atldre s C� Ciry SfatdZip P�w�� <br /> ��1 oN' 1� �e� -�Z� SUl�$1 O <br /> ��01 Smrn-� A-�e [—���- .( � 7a `I�'�.01 <br /> Tenant Ma�l Address Ciry Stat�p Phon� <br /> H&M FlecY_r_.{,C�r A997 44 h AveW SuirP (' MnkilYPo.41A 98275 425-423-9250 <br /> Eiectricai Contractor Mail Aaaress Ciry State2ip P��o <br /> 601-461--695 ����� <br /> State License Numher Con�ric of Work <br /> Propesed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: y(`�,\� `T — ('�o c1�C0.`�PCI o�P�� \a.Dl/ —t'lX��f p�Q?� <br /> r n � onz'r1C� �C�J C�f�a- `- `�.f�A r\'a-DV C'�c� Ctc_�2d c`�t.���-OJ�L - <br /> � c��` � -�� Cxas��n�� T�:� ( �u nrQv <br /> _ � . <br /> NOTE: PLANS FUR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUN�S MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUC�ATIONAL FACIUT ES AND A L�HEALTH CARE FACILITI SI PLANS WSLLE E REVIEW D BY T�S OFFjCETHER <br /> NOTE: WIRING IN NOf:-uINELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES OIJ WALLS <br /> OF 1b NCFiESSABOVE THE FLOOR.AWAC 5120 SECI 3106(�2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIAONMENTAL AND`'OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE9 OF WAC SE 20 S C 9N 6(b)4 E &F�AND NOT L SS THAN 36 INCHES ABO EUT TEF OOR IN THE REACH <br /> I HEP.EBY CEAt1FV THAT 1 HAVE READ AND EXAMINED THIS APPLfCAT10N AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIGNS OF LA WS .�ND ORDINANCES CaOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, tFIE GFUN7ING OF A PERMIT DOES NOT PFESUME TO(31VB AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTNER <br /> S7ATE OR LCCAC LA W REGUI�ITWG CONSTFUCTION OP. THE PERFORMANCE OF CONSTRUCTlON. THAT 1 AM AUTHOAIZED BY 7liE <br /> OWNER OF THIS PFOPEATY TO PEflFORM THE WORK FOR WHICN APPLICATION IS M,aDE AND 1 COMPLY WITN TME STATE <br /> CONTFACTOFS LAW 19.27 RCW AND 196.200 WAC. <br /> ��_ �—\� ^ -��._ ,l „�-J FEE <br /> �- - �(�5,� � <br /> Date <br /> � Signartno�� E03G5'-G39 <br /> ELECAPIA����) <br />