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Jun. 18. 2013 4; 18PM Bowie Electric Service No, 0816 P. 1 <br /> FEB-19-03 WED M16 AM -RETT PERMI`f SEKVICES FAX K0. 4;— 57 8857 r, 02 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 5200 CEDAR STREET, EVERETT,WA 98201 <br /> 42a-257-8810 - FAX425-257-8867 <br /> gf!de <br /> Owner J nll Address CIry StgtelLlp Phone <br /> Tenant Mal Address Gly 8t�te/Zip Phon9 <br /> NWIi -2132 f —(Codc- Wlr Vg10'7 206-78%-4�SW <br /> Flectrical Contractor Mall Address city statwzip Phone <br /> FS0wI a e0z4 1)r 5.o404pt?- <br /> tate Llcenae NuMber Contract Prloe of Work <br /> P opoeed Use of Building Contact Person (Plan Review) <br /> Description of Worst to Be Done: 2-C!5k:9A <br /> rrarl.�hul� „ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATS= FUNDS MUST BE <br /> APPROVED BY TFI8 STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF RVERM PERMIT WILL BE ISSUED, WAG 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL,BE riEVIEWED BY THIS OFFICE, <br /> NOTE. WIRING IN NON-DWELLINGS IS FIEQUIRED TO BE W RACI=WAYS, MC OR AC CABLE. <br /> HA010APPED ACCESSIBILITY. ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WAL. S <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACC08IBLE ROUTES OF TRAVEL SMALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVC- THE FLOOR, WAC 61,20 SEC.3106(c)2, <br /> ENVIRONMENTAL AND-4)THER CONTROL FIECEPTACLES AND OTHER OP12RABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBL8 ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE BEACH <br /> RANGES OF WAC 51,20 SEC. 3106(b)4 E&F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I��I III 11 Y1 11 111 1 , � <br /> I tjFR:9Y CERTIFY THAT I HAVE READ AND .EXAMINED THIS APPLICATION AND KNOW THE SAME W BE 7RU8 AND CORREOI: ALL <br /> PROVIS/OW OF LAWS AND ORDINAN059(30VERNING THl3 TYPE OF WORK WILL B5 COMPLETED WHErHEN SPECIFIED HEREIN OR <br /> NOT THE GRANTIN(I OFA PSWIT OOP$NOT PRPSUMe TO GIVES AUTHORITY rO VIOLATE Oil CANCEL THi5jbHOVISIONS OFANY OTHER <br /> STAV OR LOCAL LAW REQUtATINQ CONSTRUCTION 017 THE PERFORMANCE OF CONSTRUCTION, THAr I AM AUTHORIZED BY THS <br /> OWNER OF THIS PflOPERTY TO PERFORM 7WO WORK FOR WHIGN APPLICATION-18 MADE AND I COMPLY WITH THE $TATE <br /> CONTRACTORS LAW 10.87 RCW AND-d95200 WAC <br /> FEE <br /> Slgnalure Dale <br /> SUCAP(REV WN1l) <br />