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I1A1'-�2-D3 THU 11�11 Rii El�::.._TT PEP,i11T SEPVICES FAY: N0, 42a .�• B0:,7 P, Oi <br />ONmer <br />ELECTHICAL PERIVIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />32Q0 CEDAR STREET, EVERE7T, �NA 9H2�� <br />425-257•8�10 - �AX�.'.5-257-BB57 ,y� ��� (�O��,LI <br />f•r <br />ht:ii Atltlmse <br />Cdy <br />T����i�� Mall AtltlicT, City <br />�j;��i'i2_%�G�.2?�' �'����t{�i I��IIr l�i-li � � <br />Elc Irir.aiCoNraclor A1mlAtldres5 �� G'�✓ <br />/ <br />�"1L�. �� ��i (�N <br />Siate Ucensu Numbor <br />Fmposetl Ut �f fiuiiding <br />pc<;cGplion ol Work to Uc Qonn: I I ������✓ �( ��� (����Z�� <br />WOTE: PI_ANS F�F ELECTRICAL WORK AT EDI. <br />pPPRpVcD BY'Tf1E SfATE DF N'ASHINGTON. <br />ApPf10VED PIANS BF.FDRE CI7Y OF [VERGTT <br />E�UCATIO�dAL FAGILII'I�S AND ALL Hf_ALTH C�RE <br />,�A��. 3�� - �I � �1 y <br />���� �7Szoi <br />$1818,21� <br />Staie2ip <br />PhDnc <br />Phono <br />' �'��Z �7J�>�.a��7 <br />� f ii� _ _ _ <br />simerz�p rnono <br />r <br />�y0 �D� — <br />Conlract P�ice oi WmY. <br />��U.r,'iI< �/�r�'c�'s <br />Contact Person (?lan Reviow) <br />FACILITIES UTILIZSNG STAT[ FUNC�S MUST BE <br />; WITH iUCH J03S (v1U5T SHOW TH[ STATE <br />.L BE ISSUED. WAC 295-46-140. ALL OTIi[R <br />�LANS WILL 6E R[VIEWtD DY THIS OPFICE. <br />NUTE: WIPINU IN NON-DW[LLINGS IS REQUIRED TO BE IN RACEWAYS, MG OR AC CABLE. <br />NAIdDICi+PPi:D ACCESSIUILITI`. [LECTfi1CAL AND COh1MUN�CATI0N5 SYSTEM REC[PTAGLES ON WALL.S <br />p��il5 Ii.�c;HE_'S Af�OVF f iE F'I �OR.AWhCG 1-20 SEC1310G(c�j? TES OF TRAVEI SHALL BE MOUNT@D A MINIMUM <br />GNVIRONMCNTAL AND OTHE(� COfJTROL RECEFTACLES RND OTHER OPERABL.F EOUIPMENT VJITHIN <br />RqNGCS QF WAC�SC-7.0 SEC.�3N 6(b)4 E 6 P AND NOT LE5�5 THAIJ 36LII�CHES ABO fiUTHE �LOOR�N THE REACH <br />i �;( /iPR1' CER7IFY �N.ti 1 HAVE f7EA0 AND EXAM1fINE� TNIS 7PFLICnT10N �A'D KMJ�S' iH: SANE 70 BE TfiUE FNU LOHHECL ALL <br />p�;JVlSID�tti Oi� LALl'S AN(7 Ofif11NAN�tS GU�'E/iNING 71il5 TYPL OF t1'7rK 15'/LL (3f. GO1.�PLE7ED IM1'HE7HEH SPEGFL-D HE�7NN OF <br />�,i�7F/09 �rOCAL 1nW R[GU A71N:�COA'S n�C SON f] �� Hh P[�7 OF aNCF.�OF ODn'S RfICT10N1 iHFT p/M A�iHO 7ZEU B)r1'HE <br />;�rYNGfi f?F 1!!!S P17OF.':IITY iD PLFfORM 7N; IYDrR �OA 1'iIiICN A��LIC�.770N IS A!�7DE Ah'C 1 COIdP:Y 11�1T4 7F'c 5lA7E <br />CON7'R.ICTUFSLAIN771.?: F:.1;'Ak�2PE20Jli'AC <br />� r fGa�ll � S! � li-��/ �'Z'4� (� __'� �C � � . �/ � <br />Slp�niuro Dilt <br />pE01T 6 t:FEDIi CAfi05 ARE NOT ACCEPTED <br />L��/— U� i� <br />