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EL <br />PERMIT APi-LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� •�j�`;� ��P��.�vf�`� 11��ti <br />PROJECT ADDRESS <br />1�a��,�.��rcr-� �' C-�.��•'� ��Cl^(� i v"l� F1Jt�, <br />Owner <br />Mail Address <br />City <br />Stete2lp <br />Phone <br />��ll'''� — <br />City StetefLip Phone <br />Ten9nt Meil Address _ _ __ _ 31G'�' 7'r9— <br />Eleclrical Conlraclor Mail Address <br />C�,1 tJ�PC c_.G�4�� <br />State License Number <br />��S\1.��A1�f�< <ll�lll�t - <br />Proposed Use of Building <br />City <br />Stete2lp <br />A � oo� <br />Contract Price ot W ork <br />Contact Person (Plan Review) <br />Description ot Work ro Be Done: SN�Ti��-�- 1J `�� 1�u-��� ��Ce�JS �TS �T'� <br />� <br />-\�� . �� -`C�l.:._... C, `% � - Z� l� - <br />..`,� �i- _�� <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUCOAT ONAL FACILBITIE8 AND ALL HOEALTH CARE FACILITI SI PLANS WSLLEBE R VAEWED 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 />OF 1b NCHES ABOVE THECFLOOR.AWAC 5120 SEC 31p6(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTFOL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RANGES OF WAC 5E 20 SEC.�N 6 b)4CE & FI AND NOT LE S THAN 36LINCIiES ABO EUTHE �LOOR IN THE REACH <br />I HEFEBY CEFTIFY 7HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE THUE AND CORRECT. ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETEL WHETHER SPECIFIED HEFEIN OR <br />$�i7TEHOR LOCALNLAW REGU TING CONSTRUCTION OR THE PERFORMANCE OF CONS�RUCT ON.L THAT I��M A�THORIZEDYBYTMTNE <br />CONTFAC�TORS/LAWA8.27RCWAND296200WAC.E w�RK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />jSignaWre U Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�o�.c��-125 <br />FEE <br />