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ELECTRICAL PERMIT APP�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV[RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> -�_ �>. ��^k v��� t���t <br /> PROJECT AD�DRESS <br /> 1/cC�F16C�. i�l'�^..P � -1' �( 7( �'I��� � )� — � � �.; i�� ( � f'.. C��ZC. iJ .y/(:w3r'��U���l � <br /> Owner MailAddress City StatelZin Phone <br /> `T i�lL r"'i [' Y,ll^�. <br /> Tenanl Idail Address Cily SlalelZip Phone <br /> , (925)653-908� <br /> Electro Serve LLC 13300 SE 30th ST. Suite 105 Bellevue,WA 98005 7 <br /> Electrical Contredor rdail nddress city state/zip Pnono <br /> ELECTSL092M2 �" ���� <br /> Slate License IJumber Contracl Price ol Work <br /> /�h„� 1��:c«� <br /> Proposed Usa of 13uilding Conlacl Person (Plan Review) <br /> Descriplion of Work to Do Done: �(Y� r(�'�i I �( t � �'� ( t O [i 1 C �H'l'�'�s l r'� � �1 t'��� <br /> � � I. <br /> NOlE: PLANS FOR [LECTRICAL WORK AT EDUCATIOIJAL, FACILITIL=S UTILIZING STATE FUNDS MUST BE <br /> APPROV[D BY TH� STATB OF WASHINGTON. AFPLICANTS WITH SUCH JOBS AiUST SHOW THE STATE <br /> APPROVED PLANS DEFOR[ CITY OF EVL=RETT PGR�4IT WILL �L= ISSUED. VJAC 296-46-140. ALL OTHER <br /> [DUCAI IONAL FACILITI[5 AND ALL HEALTH CARE FACILITIES PLANS WILL B[REVIEWED BY TFiIS OFFICE. <br /> NOT[: WIi21NG IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAti'S, MC OR AC CABLE. <br /> HANDICAPP[D ACG[SSIBILITY: ELECTRICAL AND C01�1MUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACC[SSIDLE SPACLS OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE TH[ FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> L=NVIRONMENTAL AND OTHE12 CONTROL RECEPTACLES AND OTHER OPERA�LE [QUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBL[ ROUI[S OF TRAVEL SHALL BE MOUNT[D WITHIIJ THE REACH <br /> RANGES OF WAC 51-20 SEC. 310G(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREOV CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KfJOIN THG S.i1dE TO BF_ TRUE AlJD CORRECT. ALL <br /> PROVlSIOfJS OF LAWS AND ORDIfJANCFS GOV[l7N1NG 7HIS TYPE OF WORK 11'ILL GE COh1PLC-TE�IM1MC-iHER SPECIFIED HEREIIJ OR IJOT, <br /> 7 FIG GRAlJTIWG OF A P!£Rh11T DOES IJOT PRES UM1SE TO GIVC AUiHORI N TO VIOLAT E OR CAWCEL THE PROVISIONS OF ANY OTHER S7ATL <br /> C!7 LOCAL LAIN 17(=GULATING CONSTCUGTIOlJ OR TIiL"PERFORh4HNCF_ OT CONSTRUCTION. THAT I AR1 AUTHORI7ED OY THE ON?JER OF <br /> TIIIS PROPERiY TO PERFORId THE WORK FOR WHICN APPLICATION IS h1ADE AlJD 1 COldPLY lM17TH Tf IE STF�TE CONTRACTORS L!W 1827 � <br /> IiCW AFJD 29G200 WAC. <br /> FEE <br /> ��_ �� ����_ ) �i� � <br /> —r-. - � <br /> Signaturc — ----Dale <br /> CL�GFf-;P.[V!P2L01) /J — ��/ <br /> / / � J `� _ ')� �� <br /> � <br />