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�! ,ECT��C�►L PERMIT AP�' .ICATION <br /> CITY OF EVERETT PERMIT SERVICES I ii <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX 425-257-8857 ; <br /> I <br /> a1a � � a � ��" <br /> PROJECT ADDRESS .�.. `a aS <br /> �'v�^ 2Tr �-ouSi �G (�u�-Hc�Q�i`� 31 0'} Co�P�`J �ve(� l� �WR c1�2�� I 5�1-5C+c.1 <br /> Owner Mail Address Ci,y Slate2ip Phone <br /> � � R <br /> Tenant ' Mail Address Ciry StatelLlp Phone <br /> yvr��u�,z �G�ZI�i� �a� r�,c sai 5 - q�2��N��,r w�t 9�Zz 3 36o Gs'S 3��� <br /> Ci State2i Phone <br /> Electrical Contractor t.tail nddress �Y � P <br /> � z�=-� Y�z�Z a 3.,soo <br /> L �vT�� <br /> Stato License Number Contract Price ot Work <br /> Znier`��f.� ��il Lluyc� GSSU349� <br /> n^ „ �..TI 1"I�W�1�-`� £ HA- �+4i- LANGi.S^ 4�.5•SOl•SGL( <br /> Proposed Use of Building Contact Person (Plan Fieview) <br /> DescriptionofWorktoBeDone: Rtrno�e � Re�p�a-c� e �-�c�'�� c� �an��5 �n 2*�-c� t,�n,t <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILI"fIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STPTE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE � <br /> EDUC�TIONAL FACILITIE� AND ALL�EALTH CARE FACILITI SIPLANS WSLLE E R V EWED BY THIS OFFI OTHER <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> O ib WCHES ABOVE THECFLOOR. WAC 5120 SECI 31p6(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�3N 6(b)4CE 8 FI AND NOT L SS THAN 36 INCHES ABOV�E THE�F OOR IN THE REACH <br /> 1 HEREBY CEFTI!-l' THAT 1 HAVE AEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PAOVISIONS OF LAWS AND ORDINANCES GOVEANING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVe AUTHOAITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTAUCTION OR THE PEAFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY TH� <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHlCH APPLICATIUN IS MADE AND ! COMPLY WITH THE STArE <br /> CONTRACTORS L4W 78.27 RCW AND 296.200 WAC. <br /> G%C�i�'c, �`� / f/���� FEE <br /> Signature Dala <br /> Fpl�� -o�4 <br /> ELECAP(FEV fl�2001) <br />