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ELE�TRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRGET, EVERETT, WA 98201 4 ` � �`Uu <br /> I425-257-8810 - FAX d25-257-E3i157 � U f�V(� �lS <br /> ��<<o �� v cf�2 n���E �2.v� �Ev.et� ����.� ; <br /> PROJECT ADDRESS _ <br /> �� ICN�tr!,� I�cST �dlll � ur'�6'� i''�0(;G I�O� � bzi:iil �1.�'q `('i.c� ' --y�5-2`j�. .-�7S`I <br /> Owner MailAddross City StatclZip GP.:.r�� <br /> S�,M� as a�,��,: <br /> 7r.n�n1 MailAddress City StatelZip F����+'�' <br /> (925)653-400� <br /> Electro Serve LLC ] 3300 S� 30t}i ST. Suite 105 Bellevue,l9A 98005 <br /> LI^_drical Contmclar Mail Address Ciry Slale/Zip Phone <br /> cLrc2�sLo42riz o 7/C�g ���E71 <br /> Slale License Num6er Contrad Price of Work <br /> o� L�uGiu. `1Zs-4Ly- �f4�c.� <br /> Proposed Use of 13uilding Conlacl Person (Plan Revicw) <br /> DescriplionofWorkloBoDona: ` OC> �M1{� Y��'IJEL (�lylhCi.: iU�b� <br /> NOT6: PLANS FOR ELECTRICAL WORI< AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> NPPROVED 8Y THG STATE OF WASHINGTON. APPLICANTS WITN SUCH JOBS MUST SHOW TH[ STl�TF <br /> l�Pi�ROVED PLANS BEFORE CITY OF EVERLTT PERMIT WILL B6 ISSUED. WAC 29G46-140. ALL OTHER <br /> 6DUCATIONAL FACILITI[5 AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED 6Y THIS OFFICE. <br /> NOTE: WII2ING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CAf3LE. <br /> Iii\NDICAPP[D NCGESSIBILITY: ELECTR!CAL AND COMMUNICATIONS SYSTEM RECEPTACIES ON WALLS <br /> 1JI1 filN ACCESSI�LE SPACES OR ALONG ACCESSIDLE ROUTES OF TRAVEL SHALL BE MOUNTED A PdINIMUAt <br /> OF 15 INCHf_S ABOVE THE FLOOR. WAC 51-20 SEC. 310G(c)2. <br /> [NVIRONMEIJTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACGLSSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAV[L SHALL BE MOUNTED WITHW THE REACIi <br /> KANGES OF WAC 51-20 SEC. 310G(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 r�!7tEf3Y CC77TIFY THAT 1 HAVE READ AND EX�MMGD THIS APPLIC�TIUN AND KNOW THE SA1dE TO �E TRUE AND CORRECT. 1LL <br /> pI,rNI5ION5 OF 111 W5 AND OROINANCC-S GOVERNLVG 7H/5 TYPE OF�VOf.K IM1'ILL OE COh1PLE7E0 WHC-TH[R SPEGFlED HEREIfJ OR lJOT, <br /> i I-G GRAfJ!ING OF A PERh41T DO�S fJOT PFESUf.4E TO GIVE AUTHORITY TO VIOLlI TE OR CANCEL THE PROVISIONS OF ANY OTHER STA7E <br /> oH LOCAI.I.AW�t=GI1LATlNG CONS1RUCilUfJ OP. 7HE PERFOIihi�NCE OF COIJS7RUCT107J. THAT 1 Ah1 AUTHOR2ED 6Y THE OWNER OF <br /> 7;;�^I'I;Of'EI7TV TO F(=i:FOlLSf'7 fE WOR1<FOR ll'HICI f APPLICAT ION IS LL1DE AND 1 COI.^PLY N'ITH iHE STATE GONTRA C T'ORS LA W iB.27 <br /> i(Cl:'.'.i1U=9G_�!%U Ih'AC. <br /> - r <br /> FEE <br /> �fru. rl : � t. ..:`_"%� %-f/7b'lC�� <br /> i <br /> Sipnalum i�� al� <br /> iu?ni��r-.wor:co�� � ��� ��� - I Z <br />