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1 <br /> MRY-U7-C2 'f!�E 09�00 AM EVERETT PERMIT SERV[CES FAX N0. 425 257 8857 N, 03 <br /> ��� ELEC'`,,�ICAL PERMIT AP� �.ICATION � <br /> f CITY OF �VERETT PERMIT SERVICES , <br /> I '� 3200 CEDAR STREET, EVERETT, WA 98201 (,��s�� <br /> i 425-?_57-9810 - �AX425-25/-8857 �' psp(�j_O1� <br /> �07 /9'"R�[E s�, E�t�E��� '� S o�— <br /> PROJECT AODRESS <br /> X�B �NSTeucr��.i P03ox /SS Mu,C�i-��� ^--- U✓A 9827.s `�ZS-3Sfi33S� <br /> OWner tdail Addrcsc City StalelLip Phone <br /> Tenant � Mail Address C;iy State/Zi, Phono <br /> Ssvnra�Ec�Tzz_T�rc. {�o.3f�xG9o2 K�� u/� 9sa�y Z53-37Z-7/77 <br /> Electricai Conlractor Mail Addross Cliy S;air✓zip Pbona <br /> Ss�rJAEL 32sKq �2�. � <br /> Slalo License Numbor Contracl Pricc of Work <br /> %eMp�p��Y 5og T�� �o+� MoGENSEI� ZLIo-5/G-5Z19 <br /> Proposcd Use of�uilding ConWct Person (Plan Review) <br /> Description ot Work to Be Done: �'��K uP T anPoQq�y SE� � `cn f1 306 `7PA=c.EZ . <br /> NOTE: PLANS FOR ELFCTRICAL WORI( AT EDUCA710NAL, FACILITI[S UfILI"LING STAiE FUNDS MUST BE <br /> APPROVED BY THE STAiG OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STA7E <br /> APPROVED PI.ANS BEFOflE CITY OF EVERET7 PERMIT WILL 8E ISSU[D. WAC 296-46�tA0. ALL O7HER <br /> GDUCATIONA�FACILITICS AND ALL FIEAL7H CARE FACILI7IES PLANS WILL 8E REVIEbVED B`f THIS OFFICE. <br /> NOTE: W IRING IN NON•D4VELLINGS IS REOUIRED TU DE IN RACEWAYS, hiC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY; ELECTRICAL ANO COMPAUNICATIQNS SYSTEM AECEPTACLES ON WALLS <br /> W ITHIN AGCESSIBLE SPACES OR ALONG ACGESSIBLE ROUTES OF TftAVE� SHAII BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FiAOR. WAC 51•20 SEC.3106(c)2 <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPEFABLE EQUIPME�VT WI7HIN <br /> ACCE5S18LE SPAC[S OR ALONG ACCESSI6LE RaUTES OF TRAVEL SHALL �E MOUNTED WI7IIIN THE REACH <br /> ^-,AidGES OF NlAC 51•20 SEC. 3106(b�4 E& F AP:D NOT LES51'HAN 36 INCHES ABOVE TH� FLOOR. <br /> ! HF.REBY CEATIFY 7HAT 1 HAVF READ AND EXAIdINED TN/S APPLlCATlCN AND KNOV! 7HE SAME TO BE TRUE AND GORRECL ALL <br /> PROVIS/ONS OF W WS ANO CROINANCES GOVERNING TN15 7YPr OF WO{7K WlLL BE CO!dPLETED WHETNEF SFF_ClFIEO HEFEIN OR <br /> NOT, THE GRAM7Nq OF A PEAMI i'OOES N07 P�BSUMt TO G1VE�U7NORI n'TO VIOL47C OR CFNCEL TNE PROVfSfONS OF ANY O TNEA <br /> STA7E OR LOCAt. IALY f7EGUl.ATlNG GONSTFUCTlON OA THE PEIiFOP.MANCE OF CONSTRUCTION. THAT!AM nU7"NOHIZFO BY TNE <br /> OWNeH OF TH1S PRDPERTY TD PFRFORM14 7IiF WORK FOR WHICH APFLICATION IS HfAOF. AND f COMPLY WlTH 1HE sYATE <br /> CONiRACTOFiSI-4W 1d27flCW/7Np23ti.e^(kJ lh'!C. <br /> %'� lfl/.r// ��-�—Zco.S" FEE <br /> ,/� n <br /> SlgnaNro Dalc <br /> �IECAP(REV �U200�1 �-.UEIC�� —�' \"i <br />