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L=LE(�RICAL PERMIT A� PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, EVEF�cTT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � ��_ ofi <br /> PROJECT ADDRE S �d� <br /> PDR �n+g Ris� PoBax 3 yo Y �'��'-f� G�- `>pav3 5/� /S'�() <br /> Owner <br /> Meil Address Ciry State2ip Phone <br /> Tenent <br /> Neil Addre4s City StatelLlO PhOn <br /> �'er� �� ���i� �i7Bnv lJ�(�� /��l�Gl�-�/- ��pJ Obb�' 3ib��% <br /> Ele cal Cc�tractor <br /> Meil Address Ciry State2ip Phaie <br /> -�-P.(Y 1�: D(��1"�-E� ��� - <br /> Stete License Number Contrect P 'ce ol Work <br /> � 5 -�'� a � _ <br /> Propose���ding Contact Person (Plen Revie�v) <br /> �e ^� f'6 ,,`-- � �ov r�� <br /> �escrlption of W ork to Be Done: � � "— <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIIING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCAT ONPI FACILBITI S AND ALL�HEALTH C E FACILITI SI PLANS WSLLEBE REVAEWED BY THIS OFFICETHER <br /> NOTE: WIRING IN NON-DWELLINGS iS REDUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OFT 5I NCHES ABOVE T ECFLOOR.AWAC 51A-20 SEC 3106(�2 TES OF TRAVEL SHALL BE MOUNTE� A MINIMUM <br /> ENVIRONNENTAL AND OTHER CONTROL RECEPTACIES AND OTHER OPERABLE EdUIPMENT WITHIN <br /> RANGE3 OF WAC 5E 20 SEC.�NO b)4CE & FI AND OT L SS THAN 36LINCHES ABO E THE F�OOR IN THE REACH <br /> ! HEREBY CERTIFY THAT I HAVE REAO AND EXAh11NED THIS APPLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT ALL <br /> PAOVISIDNS OF LAWS AND OFDINANCES GOVEFNING THIS TYPE OF WORK W�LL BE COMPLETED WHETHEH SPEClFIEO HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNC AUTHORITY 70 VIOUTE OR CANCEL TME PROVISIONS OF ANY OTHEF7 <br /> ST/�TE Oq LOCAL LA W FEGUUITING CONSTf7UCTlON OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY 7HE <br /> �CONTFACOTORS/LAW�82�RCWAND29G.ZOOW�ICE WORN FOF WHICH APPL(CATION �5 MADE AND 1 COMPLY K'!TH TME STA7E' <br /> C �-PL �-+-'y...-�_ � /-Q 2 FEE <br /> Siqneture Data <br /> ELECAP�REV 8200�) � ��7'%3'n <br /> — � <br />