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p. 1 <br /> Rug 23 04 O1 : Olp <br /> ELEC�TRICAL PERIVIlT AP�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425 257-8857 <br /> �. ! )�O 3�7` S' � � �'�o .. <br /> PROJECT ADDRESS 5G�_F3�Z <br /> Fit-STNFcW1 / NC �-`f�0 3�tt � �����T Lv �I <br /> Ci StzteZp Phone <br /> Owner Mail Add�ess h/ <br /> City State2lp Phona <br /> Tenacl Mail Address �e 3.f <br /> F�'�-.c.1�J� SKS 3�:�� ��c�1k� ,4U e�YF..�zr u.�4 9e'.z�i as�r����i <br /> Scete(Li Phona <br /> Electrical ConVactor Maii Addross C�ty � <br /> ��'[.rrN ,SS ! y 1- L.P � aou� <br /> State License Number Contract Price ot WoAc <br /> Cc�M M,E�(%��t.L <br /> Proposea Use of Budding =o�tact Person (Plan Review) <br /> Description ot Work to Be Done: G/4X�nIL �G'l �-(�C �✓iT _ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPIICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> ED�UCAT ONA FACILBITIE9 AND ALL HEALTH CARE FHCILI7i SIPLANS WSLLEBE R VAEWED BY THIS OFFICOTHER <br /> NOTE: WIRtNG IN t40N-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. • <br /> HANDICAPPED ACCESSIBILITY: ELECTFICAL AND COMMUNICATIONS SYS7EM RECEPTACLES ON WALLS <br /> OF 5I INCHES ABQVE THECFLOOR. WAC 5120 SEC.3106(�p�ES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES ANp OTHEH OPERABLE E�UIPMENT " 11N <br /> RANGESI OF N.�AC 5E 20 SEC.O31,06(b)4CE&F AN�RNOOT LES�S THAN 36L NCHES pBOV�EUTHE DFLOOR IN THE r�rACH <br /> ! HEREBY CEATIFY THAT 1 HAVE READ AND EXAMINED THlS APPL1CA71UN AND KNOW THE SA7.1c TO BE TftUE AND COFRECL ALL <br /> PROVIS/DNS OF LA�VS AND OROINANCES GOVEFNING THIS TYPE OF WORK WILL �E C01.!PL�T=O WH�THER SPECIFIc'O HEF7ElN OA <br /> NOT, 7HE GFANTING OF A PERMIT OOES NOT PRESUME TO GfVE AUTHORITY TO V/OLA7E OF CANCEL ThE PFOVISIONS OFANY OTHEA <br /> STA7E OA LOCA! L4lN 9EGULATIN3 CONSTRUCTION OR 'NE PEFFORMANCE OF CQNSTRUC710N. 7HAT!AM AUTFIORIZED BY 7HE <br /> OWNEA OF TH1S PFOPEA�Y TO PERFORM THE WORK FOA WHICH APPIICA710N IS MADt AND 1 COMPLY WITH THE STATE <br /> CONTHACTORS lAW 78 27 RCW AND 29v.ZOD WAC. � <br /> G" � O 1� O FEE y � � « <br /> Slgnawre Dsto <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> �� <br /> �d��o � - `77 <br /> _� . ,w. s - �: . <br />