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ELECTRICAL PERMIT APPLICATION <br />CI"fY OF EVERETT PERMIT SERVIGES <br />3200 CEDAR STREET, EVERETI', WA 98201 <br />425-257-8810 - FAX 425-257-8857 7� 3-� i <br />Ot:�nef td�ilAddross Clty Slale/Zip �'�����- <br />Tenant Mail Address <br />BlecL-ro Serve LLC 13300 SE 30t <br />FleclricalConlractor IvlailAddress <br />sLr:c�rsr,o�t2tiz <br />S�alo Llcensc Numimr <br />Praposed Use ot f3uildinr� <br />Descriplion of Work to Oo Donc: i tl �%(� C�Uu� <br />Cily <br />City <br />SfatefZip <br />SlctelZip <br />�� ���(� <br />Contrar_t'rice ci `icork <br />Cantact Person (Plan <br />?liono <br />425)653-908fb <br />6005 7- <br />PL•cna <br />NOTE: PLANS FOR ELECTRICAL V'IORI< AT EDUCATIONAL, FACILITIES UTILIZING STAT[ FUNDS P,AUST t3E <br />APPROVED BY THE STAT[ OF WASHINGTON. A"PLICANTS VJITH SUCH JOBS MUST SHOW TH[ STATE <br />APPROVED PlANS 9EPORE CITY OF GVERL=TT FERMIT N9LL 8E ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACiLITIES AiJD ALL HEALTH CARE'.=AGLffIES PLANS WILL BE REVIEWED BY Th115 OFFICE. <br />NUTE: WIRING IN NON-DWELLINGS IS REQUIRED'f0 8E IIJ RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: G�ECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSI6LE SPACES OR ALONG ACCFSSIBLE ROUTES OF TRAV6L SHALL BE It90UNTED A MINItv1U�1 <br />OF 15 INCNES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(�)2. <br />C-NVIRONMENTAL AI�D OTHER CONTROL REC[PTACLES AND OTHER OPERABLE EQUIPM[NT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUrES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGFS OF WAC 51-2D SEC. 310G(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOP.. <br />1 HEREBY CERTIFY THAT 1 NAVE RLA� AldD IXARIINED THIS APFiJCA'IOIJ AA�D KNOW THE SAME TO 6E TRUE AlvD CO tRC-CT ALL <br />PROVISIONS OF LAlVS AN� ORD:lJ�IJCES GOVERIJING THIS TYPE OF INORN lM1'ILL RE COb1PLETED V✓HETHER SPECIFlED HE�EIIJ OR IJGT, <br />T h(E GRAIJ7ING OFl� PERA1IT DOC-S lJOT PRESUh4E TO riIVE AUTHORITY 70 VIOLATE OR CANCEL 7HE PROVI SIOfJS OF ANY OTHcR 57A iE <br />0,4 LOCAL LAW REGUU�TING COM1'STRUGTION OR THi PERFORhIANCE OF CONSTRUCiIOfJ. iNAT I AR1 AUTNORIZEU BY THE Ol^?:c"R OF <br />71115 PROPFRTY TO PERPOR;�.1 THE WORK FOR IM1�HICH AP,�LICATiON IS h4ADE AfJO f COl.fPLY 4 i�ITH TI1E STATE CGNTRACTORS CAIl� i`J27 <br />(?Cl4�AWD 2Jfi.200 N'AC. <br />( � ' __� <br />_ _ ; ' IZ�D-� <br />s�,;�.,;����, �-_`- o,,� <br />�� �� _�;:.;;: _. _ � : ��� <br />i" Z <br />FEE <br />3� - <br />