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APPLICAT'�f� �OR ELECTRICAL� r�ERMIT <br />c;ITY OF EVEREIT <br />BUILDING DIV/SION <br />3200 CEDAR SlREET <br />EVERE1f, WA 98201 <br />PHONE: (425)257-8810 <br />FAX: (425)257-8857 <br />2/ O EVE/z�T7' ./YtR u- G�/� <br />PROJECT ADDRESS n <br />n �n � ,�i�,n.cr�-�2J' l/OG(Ji�� /✓i� <br />Owner <br />�-- <br />Tenant <br />�gT � h/. <br />Electrical Contractor <br />Mail Address <br />Mail P,ddress <br />7/ � /G � ^'� Sf. S, � <br />Mail Address <br />�/3I � ,� ,c x pC)OG f�f <br />State License Number <br />Proposed Use of Buildiny <br />Description of Work lo Be Done: <br />�<o ". � q oa � <br />City <br />City <br />. �� o �r� <br />City <br />State2ip <br />State2ip <br />l..�n- �'i�D/�- <br />State/Zip <br />Contract Price of Work <br />Contact Person (P�an Review) <br />Phone <br />Phone <br />'C'AT, se C�A-�3cE <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUC�ATIONAL FACILBIT E8 AND ALL H�EALTH C RA E FACILIITI SI PLANS IWSLL BE RE EWED BY THIS OFFI OTHER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON W.^,LLS <br />OF ib NCHE55ABOVE THE FLOOR.AWAC 5120 SEC 3 106(02 TES OF TRAVEL SHALL BE MOUNTEG ,'v iV11NIMUM <br />ENVIRONMENTAL. AND OTHER CONTROL RECEPTACLES AND OTHER OPERP.BLE �EQUIPMENT WITIiIN <br />RANGES OF WAC 5E 20 SEC.�N06(b)4CE & F' AND �OT LES�S THAN 36LINCHES ABOV�EUTHE �F OOR.�N THE REAC'.-! <br />1 HEREBY CERTIFY TN.AT I HAVE READ .9ND EXAMINED THIS APPLICATION AND KNOYV THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF L4WS AND ORDINANCE�� (30VERNING THIS TYPE OF WORK lh9LL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GFiANTING OF A PERMIT DOES NOT PRESUME TO GI VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STA7E OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEFFORM THE WURK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACrORS LAW iB.27 RCW AND 296.200 WAC. ��—Q S/ <br />( <br />Signature <br />ELECAP(REV B?8� <br />/.S- � f <br />Date ��( G� -'�S 1 <br />FEE <br />