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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � ��� ��(=� � `lll� �� ,I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ��� " � <br /> 4?5-257-8810 - FAX425-257-8857 � rl�l __ <br /> , <br /> �r <br /> 1 � � I t'Ir� w!xt'Q. ��i� CITY OF EVER�T7 <br /> PROJECT ADDRESS rng,neennylPunlir. S ::c�:;. <br /> � ��Icf 1)re�� �t`� I� �o�C���avc �� �E �,�+^ �� � ls�A �F�aL� <br /> Owner r Mail Addross Cily Slale/Zip Phonc <br /> 'i2,ti�c C15 �' ��k�v�- <br /> Tenanl h1ai1P..ldress Ciry SWIe/Zip Phone <br /> (425)653-9085 <br /> �lectro Serve LLC 13300 SE 30th ST. Suite 105 Be_1levue,WA 98005 <br /> Eleclrical Contraclor Mail Addross Cily Stale/Zip Phona <br /> ELECTSL042M2 � ��� � <br /> Slala License Number Conlract Price of Work � <br /> (�1�i� �� ���n.�.,�, <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work to Bo Dono: �`7'�C� (!n�D � � i� �� - ��, ��+�' � r��� <br /> � <br /> � `� �(� Ct�n�t� ��,1� n 5�'-�n — t�. �5�r�'c r-,.�1��. - <br /> NOTE: PLANS 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 /> APPROVED PLANS BEFORE CIT'( OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> [DUCATIONAL FACILITIES AND ALL HEAI.TH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> ! HANDICAPP[D ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACC[SSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> [NVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NG�LESS THAN 3G INCHES ABOVE fHE FLOOR. <br /> 1 HC-REDY CERTIFY 7HAT 1 HAVE READ �ND EXAM1IINED THIS APPLICATION AND KNOW THE SAh1E TO f3E TRUE AND CORRECL ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK 4VILL GE COhiPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE'GRAN7ING OF�PERh11T DOES NOT PRESUM14E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF AIJY OTHER STA TE <br /> Or LOCAL LAW REGULATING CONSTrUCiION OR THE PERFORhfANCC-OF CONSTRUCTION. THAT 1 Ahl AUTHOftIZED BY THE 04l�NER OF <br /> 71115 PROPF_RTY TO PERFORh!T HE WORK FOR WHICH APPLICATION IS MADE AND 1 COhfPLYW1TH THE STATE CONTRACTORS LAIN 18.27 <br /> RCIN AND 2�JQ 200 11'AC. <br /> ���--� JI2� �ZW FEE � � � <br /> SignaWre Dalo <br /> LLCC�P(R[VB/2001) �.�pGY3 .-l'Z \ <br /> V <br />