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APPLIC�ION <br />CITYOFEVERETT <br />BU/LO/�'G O/V/S/ON <br />3200 CEOAR STREET <br />EVERETT, WA 98201 <br />(Q25) 257-8Bl0 <br />FOR ELECTRICA�_ FERMIT <br />Sc '_ <br />PROJECT ADDRESS <br />^Qbcy' f'wroeu�+ieS Sao 5�%�1 <br />,,,,, Mai� Address <br />Tenant <br />MallAddress - City <br />7/-�ll� PIIULS� �vf�_ <br />Electrica Contrector Mail Address <br />�LM�V�G �'0'16Ji <br />S ate License Number <br />����� <br />Proposed U e of Buildin� <br />Descript:on of Work to Be Done: <br />Gty <br />,. I„ qeZdB 3 5� 8�F00 <br />StatelLip Phone <br />--��w8 `_ <br />g����P phone <br />%6Zof ZSZ-9�1o7 <br />StalefZip Phona <br />�7i�D'O • '.� <br />Contract Price of Work <br />tlCEufv�O � — <br />Contact Persun (Plan Review) <br />NOTE: PL4NS 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 />EDUCATIONA FACILBIT ES ANDIALL HEALTH CARE FACIL TIES PLANS WILL BE EV EWED BY THIS OFFI�CEHER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF ib NCHES ABOVE THE FLOORA WAC 1 20 SECB3 06(c)2. ES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERA6LE EQUIPMENT WITHIN <br />RANGES' OF WAC 51 20 SEC. 9106( )4 E& F P.ND NOT LESS THAN 36 WCHES A OVE THE�F`LOORN THE REACH <br />1 HEREBY CERTIFY THAT 1 HA <br />PROVISIONS OF LAWS AND Ofi <br />THE GRANTING OF A PERMIT C <br />OR LOCAL LAW REGULATING ( <br />THIS PROPERTYTO PERFORM <br />RCW AND 296.200 WAC. <br />FOR <br />TO VI <br />OF CC <br />MADE <br />n�l, � �(,�11 .(� 3-14-09 <br />Signalure Dale <br />e�[urratvece� �7, <br />3-oJ �.. <br />TO BE TRUE AND CORRECT_ ALL <br />FEE � ) D <br />