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ELECTRICAL PERf�91T APPLICATION <br /> CITY OF EVERE'�T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> I l(�G� �?�"� a�2.St <br /> PROJECT ApDRESS � ( y� <br /> �Ml� 2t��Q.n(� I � l�� � �3�� 17�2 `�E Lt�'�.:�J,� �AJ� ��570� 75 �J� �S��I�ic,2 <br /> Owner , Mail Address City Slale/Zip Phono <br /> ��rt�+'.�G. C4.7 �� Y�t/�.� <br /> Tenant Mailnddress Ciry S�a�e/Zip (425)653-40E�.�? <br /> Electro Serve LLl` 13300 5� 30th ST. Suite 105 Be].levue ,WA 98U05 <br /> Eledrical CoNraclor Mail Address City Slate/Zip Phone <br /> PLECTSL042M� � /�� — <br /> Slala License Number Conlracf Price cf N1ork � <br /> '-- ����.,-1,�, �VCLiv,-- <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> I9 /, / r J /� ' <br /> Descripiion of Work to Be Oone: � �� /'i /�a,L�.� �P�x YE.r9Sl. '1: 7�7JY u9/•l.� 'X/'��K.L9:Q i_6L <br /> t C — <br /> � - <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUfJDS MUST BE <br /> APPROVED BY THE STA"iE �F WASHINGTON. APPLICANTS :'UITH SUCH JOBS MUST SHOW THE STAT� <br /> APPROVCD PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. �NAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS'�NILL 8E REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWEL�INGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC C:ABIE. <br /> H�NDICAPPED ACCESSI8ILITY: ELECTRIC,4L AND COMAqUNICATIO^!S SYS?E^d RECEPTACLES ON VVALLS <br /> WITHIN ACC[SSIBLE SPACES O� ALONG ACCESSIRLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINI�v1UM <br /> OF 15 INCHES ABOVE THE FLOCR. WAC 51-20 SEC. 3105(c)2. <br /> ENVIRONMENTAL A�I'J OTHER CONTROL RECCPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE RUU?ES OF TRAVEL Sh1ALL BE MOUNTEU WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I i1EREBY CERTIFY THAT 1 HAVE READ AND EXAAIWED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS Of LA WS AND OFDIN/Ih'CES GOVERNING THIS TYPE OF WORK tNILL BE COMPLETED WHETHER SPECIFIED HERElN OH NOT. <br /> illE GRANTING GF A PERI�I7T DOES NOTPRGSUS4E TO Ca1VEAUTHOR/TY TO VIOLATE OR C/1NCEL THE PROVISIONS OFANY OTHER STA1�e' <br /> OR LOCAL LAW RE6ULATING CONSTRUCTION OR THE PERFORh1ANC�OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br /> TNIS PROPERTY TO PERFORM THE 170RK FOR WHICH APPUCATION IS hTADE AND I COh1PLY WITH THE STATE CONiRACTORS LAW iB.27 <br /> l2CW�fJD 296.200 WAC. <br /> / ��__�--�/ <br /> FEE � � <br /> ��k-� �/��/�. ���� <br /> SignaWre e�� <br /> ELECAP(REV8110U1) /� ' �7 <br /> � („'L, 7-/�� <br />