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� ELECz �ICAL PERNiIT AP� ..�LICATION <br /> CITY OF EVERETT F�ERMIT SERVICES <br /> 3200 CEDAR STREET, EVEAETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-885' <br /> 1\O��l- 1��tV� /-��C., ��.��— <br /> PROJECT ADDRESS <br /> C\Z`c`cYv�o�'�� �`cv��\c�.�,�`^�" L�IaS�{140-Z�`IlS <br /> Owner Mail4ddress City S�ste2ip Phone <br /> S1�U��M Lzk��. U��c�������O1y- I�ti-� �v4 c„ _ .�G��•�i.:4.{� q`b� C4aS)337-j05d <br /> Ten2nt <br /> � Mail Address City StatelLip Phene <br /> � c\ ���o�n v.� �H"l�l- b;�,. � . �,v� zr � ,- � �A �i � (3toLbsa-3�aH <br /> Ele trical CaMractor <br /> Mail Address Ciry State2ip Phone <br /> B I ��� "'' <br /> a*�'Ll� N�� �H D� Contract Price of W ork <br /> State License Number <br /> 1 �ih tpY�� <br /> Proposed Use of Building Contact Person (Plan Review? <br /> De-cription of Work to Be Done: � p l, � � ` \v� .'— 'ic,. 4.�.\i�-; g <br /> �(Y�o c�v�`t, � Yr��v�S�Z\\ 2� Y�`�w Cz�t c.-� ��v. 3 a o.r�4 <br /> _��l)�p1�c� C��tVC� ✓ -, _ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING S i ATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOES MUST SHOW THE STATE <br /> EDUCATIONA FACI BTIES AND ALL�EALTH CARE FACILITI SI PLANS WSLLE E R VAEW ED BY THIS OFFICE.f�FR <br /> NOTE: WIRING IN NON-DW ELLiNGS IS REQUIFED TO BE IN RACEWAYS, MC OR AC CABLF_. <br /> HANDICAPPED ACGESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 5I WCHES ABIO�t THE F OOR.AWA 5120 SEC 3106(02TES OF TRAVEL SHALL BE MOUNTED A lAINIMUM <br /> ENVIRONMENT4L AND OTHER CONTROL RECEPTACLES AND QTHER OPERABLE EdUIPMENT WITHIN <br /> RANGE3 OF WAC 5E 20 SEC.�N 6(b)4CE & FI AND OUT LES�S THAN 36LINCHES ABGV�EUTHE�LppR�N THE REACH <br /> 1 Hc'nEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW 1'FfE SAA4E TO 8E TRL�E- AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDlNANCES GOVEFNING THIS TYPE OF WOFK W�LL BE COAfPLETED WIIETFIER SPECIFIEO HEREIN OF <br /> NnT, THE GRANTI,NG OF A PERMIT DOES NOT PRESUME TO GI VE AUTHORITY TO VIO(ATE OF CAIJCEL 7HE Pt�OV1S(ONS GF ANY OTf=Efl <br /> STATE OR LOCAC lAW REGUL4TING CONSTRVCTION OR THE PEflFORMANCE OF CONSTRUC'iON. THAT�!AM AU77-IORiZED BY THE <br /> �ONTRACTORS'LAW�8.27RCWAND 962�OWA��E `NORK FOR 6VN.ICH APPLICATIUN IS btAOE AND t COk.PLY WITH THE STA7E <br /> �r��- -,.� . .� o ua. FEE <br /> ;tignaWre Date <br /> �o�D�-o�{G <br /> ELECAPI��V�'aJ1) <br />