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APPUC"TION FOR ELECTRICAL PFf',MIT I <br /> � <br /> CITY OF EVEREfT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVEREfT, WA 9B207 259-8810 <br /> -�� �� ��I�tq �v4-t1vQ... <br /> PROJECT ADDRESS �C p n � 3�3I Cb/7r ff� �"'v� <br /> ��,�—�,, 1 .—� .Y! � Phons <br /> tv Su[elLp <br /> Meil Addreea ���� ^ ��� �C^O/ 7 CQ_�Q(�� <br /> °�iivasky �; OL �J� v <br /> ��� Stete(Lp Phona <br /> Tenant Meil Addreas a/6 P�32 <br /> err i� ���^`"` /33oa go��P��,C.f.�u� �.�3 ����C1.� Q�a/z <br /> ��ry Stete(Lp Phone <br /> Electrical Contractor Mail Addresa <br /> /� �U� <br /> '' 'Qt/`.<�d(obni°— Contract Price of Work <br /> State License Number <br /> �.(J�W (/'1�1 /�C.a.� <br /> Proposed Use of Buildin� �� � �� <br /> Description af Work to E3e Done: <br /> I�en�r ��� �t,��5 l,if a�- <br /> � � — (.�GS G. l7.. Ipr - Cd�u1 tiv p��� <br /> � .,i r <br /> /uP� aoo A-�wP Sar��`�.�— <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> STA7E APPROVE�D PLA S BEFOREACITY OF EVERIEf'T PERMIT WILL BE ISSUEDH WAC 296-46-1A40.T SHOW THE <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSI6ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OFTI5NNCHES ABOVE THE FLOORA WAC 51C20 SECL3106�yZs OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC 5E7 0 S Co3 O6(b14EE & F AND NOT OSS THAN 6HINCHES A OVE TH F�OR THE REACH <br /> I HEAEBY CERTIFY THAT /NAVE READ AND EXAMINED 1N1S APPGICATION AND XNOW THE SAME TO BE TRUE AN� CORR£CT. ALl <br /> PROV/S/ONS Of LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LL Bf COMPLETfD WHETHER SPECIF/EO HFFFJN OR NOT, <br /> TNE GR.4NTlNG OFA PfRMIT DOES NOT PRESUME TO GIVf AUTNORl7Y TO VICLQTE OR CANCEL THE PROVISIONS OFANY OTHFR STATE <br /> �THIS/'ROPER TOGPERFORM THE�YORK TFOR WHlCN APPLICARTlON l EMADEAND�COTMPLY WITN THE STA E CONTRACTORS LAW 8 Z� <br /> RCV�ANO 296.200 WAC. <br /> ��--- ��� �9'7 F E E /Z Z--- <br /> �" Date <br /> Signaturo <br /> , ttSM�NMW <br />