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06-28-'05 14:13 FROM -Washington alarm 2063227214 T-749 P01101 U-385 <br />T 4-lXubc. ULA-L 1, 11 t1C/ N' "Y7 }iCG A.I%►DN.1'U L WbJ37-2 22 $$ <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-2F7.8810 - FAX 425-257-8857 <br />75o I HA'v .S -" Pot <br />PROJECT ADDRESS <br />Mp �giw 13uac i 7► A Ftaraf <br />Owner Mail Addr <br />Micssler ! is 75G ► tta► dear, <br />Tenant Mad Address <br />Wagur>�tc►-7 3 S Atarrn 125. Jacl� <br />EIeWIcaIC—{M1radOr MailAddrns <br />t[y fiS H- l R 12$ 2L 3 <br />State License Number <br />Proposed Use of Building y <br />Description of Work to Be Done. <br />25 hog r/Sfi vbe5 , 2- strobes, I <br />G1Y raulcAcd . i Sri i. -l'tt l bl�kiloY <br />Cary Statemp Phone <br />I?A . wA gS703 <br />City StatelLp Phone (20c� <br />Sezdt W 4 A80 44 3a -4 3 <br />!� 51053 - co <br />Contract Pnce of Work <br />K Ir) <br />Contact Person (Plan R ew) <br />2 �"PM, i L) rrla*i L <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 CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-40.140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH 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 />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIPLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES O.dOVE THE FLOOR WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL 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 NOT LESS THAN 36 INCHES APOVE THE FLOOR, <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF L4 WS AND ORDINANCES GCVEPW IG THIS TYPE OF K10RK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT <br />THE GRANTING OF A PERMIT DOES NOT PRESUME TO LIVE AUTHORITY TO NOTATE OR CANCEL THE PROVISIONS OF ANY OTHER STATt <br />OR LOCAL TAW REGULA7 AIG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR VVHICHAPPLICA770N IS MADE AND 1 COMPLY'WtrH THE STATE CONTRACTORS LAW IB.27 <br />RCW AND 296.200 KAC. <br />z l o5 <br />—�i9p4ture Date <br />w WR ALOI.0 '1) <br />FEE <br />