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i <br /> �_ , r <br /> ELECTFfICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR StREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �Nal D��____— <br /> PROJECT ADDRESS <br /> Owner <br /> ��MaiiAdd���� O���CCity �� SletCeL� ���— <br /> �.� n5 �✓e� w�-3s3-a�o3 <br /> Tenanl MailAddress C�ty S���Z�p (925)653-4085 <br /> Electro Serve LLC 13300 SE 30t1i ST. Suite 105 Bellevue.WA 98005 <br /> Electricel Conlraclor Mail Address Cily Stele/Zlp Phane <br /> ELECTSL042M2 - � �� �� <br /> Stale License Number Coniract Price of ork � <br /> �-- m„�,. �- <br /> Proposod Use of Building Contact Person (Plan Review) <br /> Description ot Work to Be Done: �� �A/M1�.�C. � �� !�- �� � ""^' � <br /> NOTE: PLANS FOR ELECTRICA� 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 /> EDUCATIONAL FACILBITI S AND ALL HEALTH CARE FACILITI SI PLANSIWILL E EVIEWED BY THIS OFFICE.HER <br /> NOTE: WIRING IN NON-DWEILINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANCICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> \NITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES A80VE ThiE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE3 OF WAC 5E 20 ECLON06(b)4CE 8 FI AND hOT L SS THANv 6LINCHES ABOVOE THE�F OORIN THE REACH <br /> 1 hIEREBY CERTIFY THAT I HAVE READ AND EXAMINED TI11S APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVF_RNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> �HIS PROPERTY TO PERFORM T�HE WORN OROWNICH APPLI�CA�ON IS MADE AN D COMPLYWITH THE S ATTE CONTRAC nRS WE E.�27 � <br /> RCW AND 296.200 WAC. <br /> O FEE ��. p0/� <br /> ( <br /> Signature Date <br /> ftECAP1REV B12001) � <br /> /� I <br /> � ( �� 1 - 1 <br /> � <br />