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APPLIC�'1TION FOR ELECTRIC�`.L PERMIT 'i <br /> CITY OF EVERE7T <br /> BU.KDING D!V/SION <br /> 32G 7 CEDAR STREET j <br /> EVERETT, WA 98201 ! <br /> (425J 15,'-8810 � <br /> ( i <br /> -`, �-���� . 'r'%1 � / � <br /> �i �_^,,��)�.i — . � ;- !� + <br /> PROJECT ADDRESS / � <br /> i <br /> �,�a- /�P�D/ ' <br /> � ,_ _ , �y � ��su-/„�� <br /> % � i 4 �i / i �, r �� �i,y / "'9/ i � /.' // i nona � <br /> Owner <br /> Mallf�duress CIry Stalefllp � <br /> C�/� Ji"// f-�J/1/�P " �_�i/��/YIF /f� v�C� � <br /> / StalelL ; Phone = <br /> Tenartt MailAddress �m' P J ��� ! <br /> ; / � >f � ye�rio e=:�• -��:;i z_ <br /> /'i�/�.,i c` �C7 i /l✓ ✓�J� /% /'i i ��F /JI ri / • C � u` StatrlZi Phona <br /> ElectricalContrectcr MailAddreu �m' P <br /> ; '"', so 0 <br /> � ' ' ' ` �1— Contr Price of Work <br /> State License Number <br /> j��� 7 `' / Contact Person (Plan Review) <br /> Propo d Use of Building , <br /> � � %i t /� �v�� �U�vr� d7!—,� � /�L,' y�P1..z�� <br /> �escription of Work to 8e Dor.e: J��P � f <br /> / i`- A l/�.^�D(�C f�U�'J/� L� � .�; //l�.i�. � ��(7(,� w�r� � <br /> 6� i -Z I"�/'� <br /> � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE � <br /> APPROVED PLANSEBEFORE CITY OF EVERETT PERM TAWILL BIEHSSUED.J WACM296�46-H OW ALL OTF�ER � <br /> �EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE RE/IEWED BY THIS OFFICE. � <br /> NOTE: WIRING IN NC;N-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, M�uP,i+C C48LE. <br /> HANDICAPPED ACC�SSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 15I NCH S ABOVE THE FLOORA WAC 51 20 SECB3 O6(c)2 ES OF TRAVEL SHALL BE A10UNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OFEWAC 51 20 SEC.�N 6(b)4 E&F AND NOTE ESS THRAN 36 N HES A80`�JE THE FLUGRN TI1E REACH <br /> � <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> OREOCALTLA W REGULATIN'G�ONS RUC ON ORE7HE PERFORMANCE OF CONSTRUCTIONNTHAT I AM AUT/HORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND!COMPLY WITH THE STATE CONrRACTORS LJ+W 19•z7 I <br /> RC W AND 296.200 WAC. <br /> � <br /> �1 /." <br /> i � <br /> �'` / �// � ,_ J �, DQ FEE <br /> .�` - /-L�'�i'��C^ <br /> ,�^ � � � <br /> ,� Signature Oate <br /> �ec�stneveee� �('��1 'O��'I <br />