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APPLIC'HT'ION FOK ELECTRIC�� PERMIT <br /> CITY OF EVERETT <br /> BUILOING DlV/SION <br /> 3200 CEOAR STRtET <br /> EVERET7; WA 9820> <br /> (425J 257-BB>0 <br /> 2 S�o y 3 � f� s�. <br /> PROJECT ADDRESS /` <br /> �� l � fasf✓�o�✓ �n�:� F✓ � eT/ G✓� I�Z�b' (`l1s)337-S�S7 <br /> 1Ar�• S�`'��I-��L G�ry State/7Jp Phone <br /> Ow�e� Mail Address <br /> � -r S�R -+a ��1�6�7 lVci�ftir'2 � �ll.�;�.�� l2i„'{�t�� l'I/�T ���// ��fLS� ')'70-OoD'7 <br /> � <br /> Tenant Mail Address <br /> ��, StatrlLip Phone <br /> �J s.E, d'��2 �co)xas= Y/fr9 <br /> LiNE-SLDF _Fl�c, ,�e,oi7 ijz S;F liloN �oc �iac P Fhone <br /> Mail Address City <br /> Electrica �2� 5�0 <br /> LI'V E� �ZO z-1 N � Contract rice of Work <br /> State License Number <br /> �+ � � S � /�e�l,�v� �y�� <br /> .�_J_— Contact Person lan Review) <br /> Proposed Use of Building <br /> r l� SOd ,�.-+A /.�O��o U /� $�rkJ�c � cv� Iti y 200 0_� <br /> �escription of Work to Be Done: v�S ti} �/ <br /> � / 1 �J� / '1 e ZE�O /}wfl /Y1P7�r S I�/r. � a T� ,rv�5 � <br /> rYl'� tis d- �- y0o f(..n n��r�-� , <br /> � I r �, � r�. � owt�e <br /> ,y / 2 �LICa 10N V� �t(/4/�/ <br /> // �QU 4� / � 1 G Nt e1 <br /> (,,'S���1, Po�,�eo I, <br /> NOT�: PLANS FOR ELECTRICAL 4VORK AT EDUCATIONAL, FACILITIES UTILIZING STATE F!JNDS MUST SE <br /> APPROVED BY THE STATE OF WASHINGTON. APP�ICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONA FACILBITIEB AND ATL�EALTH C RE FE4C^IL TIESLPLANS WILL BE EV EWED 8Y THIS OLFF CEHER <br /> NOTE: WIRING IN NO�' 7WELLINGS IS REQUIRED TO 5E IN RACEWAYS, MC OR AC CABLE. <br /> WITHIIN ACCESSIBLE SPACES CJR ALONG ACCESS B E�R UTEIS OTF�RAVELSSHALL�BE MOUNTED A MINIMUM <br /> Or 15 INCHES A9GVE 7HE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTf;ER CONTRO� RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF �IAC 5E 20 SEC�3N 6()4 E &F AND NOT LE�S THAN 36 N HES ABO�E THE�FLv�OHRN THE R.EACH <br /> PROV S�ONS OF'LA WS AND OROINANGES GOVERNING 7H SHTYPE OF WORK WILL BE GOMPLETEDMWHETHER SPECIFIED HEREIN OR NOT. <br /> THE GRAN7/NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY r0 VIOUITE OR CANCEL THE PROVISIONS OF ANY CTHER ST'ATE <br /> �HIS PROPERTY TO PERFORM HF. WORK FOR WHICH APPllCATiON�S MADE ANDR COMPLY W17H THE STATE CON�RACTORS U7 W�18.27 <br /> RCW AND 296.200 WAC. <br /> �,_-'�- � /( /3 2 0 o u FEE y�J 7� 5 � <br /> D t= <br /> Signature i <br /> �G�iG I l"dCo � <br /> ncvrtncvecel <br /> � — � <br />