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ELECTFiICAL PERMIT APPLICATION <br />CITY UF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />d25-257-8810 - FAX 425-257-8857 <br />(S� (O l?7''` Sf- <br />PROJECT ADDRESS ..y�— <br />Mi��v_e�- S'VI1/f "` �S�O ��� Jf <br />Owflef <br />Tenant <br />w�-sN �, <br />Elecirical CoNractor <br />MeB Address <br />Meit AGtlress <br />�2-rU(C11� <br />Mail Address <br />w�SMI�S 97/ c� D <br />State License Number <br />S�12 <br />Prcposed Usa ol Building <br />Description of Work to <br />I' YLCC F' <br />a�� <br />City <br />Ciry <br />Ciry <br />w�4 y� <br />, <br />Stete2ip <br />Slete(Lip <br />� (//� ' <br />Stete/Zlp <br />�,r��3�a.. <br />Phona <br />Phona <br />�p (0 2 <br />Phone <br />c./+ �%! <br />Contrect Price ol Work <br />�N.Si[C� a'4(C4'f�"�` <br />Contact Person ( lan Neview) <br />l2d�dl�3 7�oY <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY 7HE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUC� IONAL FACILITIES AND AL �EAETH CARE FACIIIITI SI PLANS WSLLEBE FEV EW ED 8Y THIS OFFICETHER <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 15I WCHES A810 E THECFLOOR.AWAC 5120 SEC13106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RA�GES OF WAC SE 20 SEC.�3N 6(bj4CE & FI AND OT LESS THAN 36 INCHES ABO E THE �LOOR IN THE REACH <br />— --.._ ..._ ..,.,..,�,.r aL� <br />AND <br />?]a <br />NFC. <br />� �,�( ��t��,��-,t-� '��� s�a2 <br />Signeture <br />Dale <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />a•d zsaezs?sati�:n: <br />�,U 3l/-ii 7 <br />Ibi <br />AND 1 <br />FEE <br />iOR <br />:woad es:ee �aez-�a-noN <br />