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r�Rv-22-03 THU 11:11 Rti <br />ELECTRICAL PERMIT ARPLICATION <br />�i/ ,�i �// <br />EV � T'f PERMIT SEP,VICES <br />FAY IdO, 425 �°' BBSi P, Ol <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREtT, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />/�� � �L,�✓ <br />�.1�� ^�-��(JrC�� �11(��� �i�l^!/1 �.�„�`. <br />FROJECT A[�DRESS <br />O�vner <br />� i��� _�lt. <br />Ten�nl <br />��� <br />i <br />Nsll Addre57 <br />M�il Atlrfic75 <br />Crty SIa�e2ip <br />� � � � �ou ' <br />Ciry � S�me2ip <br />�.� �... C;.?i � / <br />Pnono <br />� ��c, <br />Pnane <br />��7.�J/'�%'% <br />�_� � � • ' ' T <br />Mn�l Atldiess � C�fy Gi�i�n�P Phono <br />Elcf Irir,al ConV�.;lor <br />l��(t�.�i1�__�__�'�- � I %� 7 �I � <br />Si.�lu Ucansu NumUor Convact Price ot Work <br />� ���r�i�r�i� him�, � ,� <br />Contacl Person i��an Reviow) <br />Pmposetl Utn �1 Uuildinq <br />De�,criplion ul Wort: to l3c Ponn: _ I,I� 1/ �"JI�Ii � I��7� <br />NOTF: PIAN:i F�OH FLECTRICAL WORK AT EDUCATIONAL. FACILITIES U7ILIZWG STATE FUNDS I�AUST 8E <br />Af'PfiOVFD BY 'iliE S'fATE OF WASHINGTON. At'F'LICAN75 WITI1 SUCII JCDS MUST SHOW THE STATE <br />APPROVED PI.ANS BF.FORE CI7Y OF [VERGTT PERMIT W�LL �E ISSUE�. WAC 296-46-140. ALL OTHER <br />C.�UCATIOIJAL FACILII'I�S AND ALL HEALTH C�RE FACILI7IES PLAN5INILL [3E REVIEWED BY THIS OFFICE. <br />I:i?TE: WIFiING IN NON•DWCLLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AG CABLE. <br />'.;dDICAPP['D ACCESSIfiILITY: C_LECTFIICAL AND COMMUNICATIONS SYSTEId RGCEPTACL[S ON WALLS <br />`': i 1,1-�NJLC �S AfiO F ii E FI.00R.AWti G 1-20 SEO. 3106(�pTES OF TRAV[l SHALL BE MOUNTED A MINIMUM <br />-•:'�'IaONMGNTFlL AND OTHE(� CONTROL RECEPTACLES AND OTHER OPEFABL.F EOUIPN�NT WITHIN <br />�; r, j� �; qF�WAC 5E 70 SEC. SN 6(b) CE & P AND NOT LESS TF1AN 36LINCHES ABO OUNHE �F OOR �N THE REACH <br />I HG�E�I' CERiIFY Tt1AT 1 MAVE AF.A[7 AND ERA611NE0 TftIS APFLICAiION A�'D KMOW THE SAME 70 9E TFUE ANU COHHC-CT. ALL <br />NOi�TN� GI7%�N71NG�OF'q NC'RI.�T D'JCS NOT PR[SUME 70 GIVE A�HD � �Hl'U+VIO�ATE URPCANCEL TH6 PRUVISIONS�UD ANY 07 cN <br />rIJ L'Ii n�O1115'F'lON�l771LT0 PPFfORM�7TE NO KTFOAEWf�NMF�PLICATlONN1SRMADE�ANDHAC01lP Yu�Vi�TNILfheBSIA'1F <br />:' ' ^ <br />,.':!d1'AACTUAS LAVJ 7U.2% RCVJAND 2962D01PAC. <br />_1� V�L/L!i (a >l/i7��-1�1v� <br />$if�nillurn <br />DEBIT & CFEDIT CAR�S A(�E NOT ACCEPTED <br />Da:e <br />FEE } O <br />��� <br />El1�Oj- l5� <br />