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ELECYRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�1DU� YVlI1Vl�v�S� pC��F, <br />PROJECT ADDRESS � � <br />Owner <br />tdail Address <br />��-��-06 <br />C-o61���j2 <br />Zog utj• 7,to <br />StatelZip Phono <br />Sqan� aS �fP <br />Tenant i,+a�inadress c�ry Slale/Zip �yZ5�)653-9081:- <br />Electro Serve LLC ]33U0 SSi 30th ST. Suite If'5 IIellevue,WA 98005 <br />[Iedric�IContractof MailAddmss Cily SlateRip Phone <br />F.L�CTSL,U42M2 � Z I/J� <br />Stale Licensn humber <br />� <br />Praposed Use of 6uilding <br />Dcscriplion ol Work to 6o Done: <br />1� IUZ'�- <br />Contrect Price of Work <br />CoMact Person (Plan Review) <br />NOTE: PLANS FOR [LECTRICAL WORK AT EDUCATION/1L, FA^,ILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED 8Y THE STATL= OF 4VASHINGTON. APPLICANTS VJITH SUCH JOBS MUST SHOW THE STATE <br />l�PPROVED PL�NS BEFORE CITY OF EVERETT PERMIT 1'VILL BL !SSUED. WAC 296-46-140. A�L OTHER <br />1_DUCAl10NAL FACILITIES AND ALL NEALTH CARE FACILITIES PLANS WILL 6[ REVIEWED BY THIS OFFICE. <br />PJOTL=: \NIRING IN NON-0WELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPL=D ACCESSIBILITY: [LECiRICNL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACC[S516L[ SFACLS OR ALONG ACCESSI6LE 120UTLS OF TRAVEL SHALL BE MOUNTEC P MINIMUM <br />OF 15 INCH6S ABOVE TH� FLOOR. WAC 51-20 SEC. 3106(c)2. <br />LNVIRONMFNTAL AND OTHFR CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />�CG[SSI3LE SPACES OR AL��NG ACCESSIBLE ROUTES UF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANG[5 OF WAC 51-20 SEC. 310G(b)4 E& F �ND NOT L[SS l"NAN 36 INCHES ABOVE THE FLOOR. <br />I I d-REf3Y QRiIFY THAT 1 HAVE l7cAD AtJD EXAh11.JCD iH15 APPLIC.ATION AND KfJOW IHE SAME TO �E TRUE AND CORRCCT �LL <br />�'ROVISIONS OF 1 �1N5 AND ORDIlJ�NC(-5 GOVB7NIiJG THIS TYPF OF IM1�ORH WILL I3F COMPLE7ED LNHETHER SPEUFlED NERC-IN OR NOT, <br />R IL- GNANIING OI' A PERAfIT DOES NOT PliF_SU�dE TO GIVG �UIHOHITY 70 VIOL� TE OR CANCEL THE PROVISfONS OF ANY O1 HCI7 ST�TF <br />uR 1 OCAi_ IAVY KCGULR7ING rON57RUC710N OR THF PERI'ORh1ANCE OF CONSTRUCTION. 7HA71 Ah1 AUTf IORIZrD 13Y TNE ON'NER OF <br />11IIS P1701'1� R71' 70 PICRFORhI THE IVOHK FOR 11'HIGI APPLICATION IS h1AD[ AfJD 1 COh1PLY lt4TH THE Si� i�G COfJTRACTORS LAW 78.27 <br />RC�l��IJD 79fl�0U ll��C. <br />��,� o, ��l��jo� <br />Signa�uro ���a <br />FEE � f� <br />s— <br />fLiCl�p�ft[VN'ZC�711 �L1.1V � 11�'l <br />