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—� � <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />2012 - 104tb St SW <br />PROJECTADDRESS <br />Rosevood Park Developmenl LLC, 2312-176[t� Place SW, Lynnwuud HA 980l7 (415) 74Y-8487 <br />Owner Mao naaroa� Ciry Sta�uZ�p Phona <br />Tanent <br />MeiIAEUrcsn <br />C�ry <br />SiaterZip Phone <br />NORTHLAND ELECTRIC, INC, IQ20b 52nd St SE, Snuhomish, WA 98290 (760) 568-0881 <br />ElectncalContrector Me�i,4aaress Ciry Siace�Lv Phone <br />NORTHE121879 <br />Stelo Licenx Numbar <br />Hesidential (Ouvlex) <br />Proposed Uae of 6uilding <br />$j,069.00 <br />Contracl Price of Wark <br />Contacl Pe�son (Plan Review) <br />DescripUcaofVJorkroBeDone�. Nire new ringle family Auplea unit (100 Amp underground service) <br />�nclud�ng phunc 6 TV li�v wl[age. <br />NOTE PLANS FOR ELECTRICAL WORK AT EDUCATIONAI., FACII.ITIES UTILIZIPI � STATE FUNDS MUST BE <br />APPr�OVED BY THE STATE OF WASHINGTON APPLICANTS WITH SUCH JOB' AUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED, WAC 298-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CAP.E FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: YVIRING IN NON-Dl'lELLINGS IS REQUIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCGSSIRILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN kCCESSIBI.E SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACL[S AND OTHER O?ERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES CF TRAVEL SHALL 8E MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51•20 SEC 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE Tf:E FLUOR. <br />1 MEREBY CEFTIFY TNAT I HAVE READ AND EXNdINED 7H15 APPLICA710N ANC KNOW TM� SAME 70 BE TRUE AND L'ORRECT ALL <br />PROV/SIONS Or LA WS AND ORDINANCES GOVERNING TNIS TVPE OF WORK WILL BE COMPLETED WME7MER SPEGFIED HEREIN OR NOT, <br />THE GR4NTING OF A PERM/7 OJES NOT PRESUME TO GNE AUTMOR17Y TO VIOL4TE OR CANCEL TME PROVISIONS OF ANY OTHER STATE <br />OR LOCAL LAW REGUUIT/NG CONS7RUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT / AM AUlIIORfZED BY THE OWNER OF <br />TMIS PROPE.4TY TO PERFORM THE WORK FUR WHiI'M APPLICATION IS MAUE ANU 1 COMPLY WITH TME STATE CUN7RACTORS U1W tE.17 <br />RCW AND :96.400 WAC <br />�. 7��� ,�.i, 2/24/Ul <br />�. <br />ignetura Date <br />ELECAP�REV BQOOtj E o3c�- �w <br />FEE 5�5.00 <br />