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C � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERET! <br /> BUILD/NG DIVISION <br /> 3200 CEDAR STREET <br /> EVEREIT, WA 98201 <br /> PHONE:(425)257-8810 <br /> FAX: (425)257-8857 <br /> /�I/� �'I/2`yi,« �/<c� # C ���IC�!`J. r,�R f�'�°'f <br /> PROJECT ADDRESS <br /> !3M � � �s G� i��f� ,av.e �a'� ->ri�o bz-urytiz wa. g�o �.�— Ktr-7��-��.d . <br /> Mail Address City State2ip Phone <br /> ner � ('r �, 7�,�p"�` -� C <br /> 7v �� <br /> Ta�O� L'�ev2��, ///��f �'D�H �^_��,, •�ub,�it�7 �� 59�5� • s.oC T�/-S6h3 ��-�1�1_��i..' <br /> TBndnt Mail Adtlress City State2ip Phone <br /> �+��v�ru,t" JYy'� eo /.z�/cc ff+�`i r f s 1/ � ' U�-dZ'�Y w� 4i'.''St S�o-�1�L/�,,� ' <br /> Electrical Contracror Mail Address T� CAy State(Zip P / <br /> Z�tl7z-�t's' Co (� �l� 2uv�, �= <br /> State License Number Contract Price of Work <br /> J.¢4n»7,e �<« �tJ-7f�/-6'��'7 <br /> Proposed Use of Building Contact Person (Plan Review) � <br /> DescriptiunofWorktoBeDone: TNST/�GL �LU,lM/N/3�Z� ,�[.�rM Si��C,�ct- �/Ny7r/lr�N <br /> ( rZ-�ObX�p�4 , w�l�� NX��, jg��,�� s�� � � 7�� � ����,•y �, <br /> (�ti 7/-�� �v�ril� G.�.�i-a� T�I�I /T��'/�'1 <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 E3 AND ALL H�EALTH CARE FACILITI SI PLANS IWSLLE E R V EWED BY THIS OFFICETHER <br /> NOTE: WIRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 16 NCHES AB'OVE THE FLOOR.AWAC 51A-20 SEC 3 1pg(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.SNO'o(b)4CE & FI AND OT LES�S THAN 36LINCHES ABOV�EUTHE�F GOR IN THE REACH <br /> I HEREBY CEFTIFY THAT I HAVE RF.AD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORAECT. ALL � <br /> PROVISIONS OF LA WS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PEAMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAlVCEL TH�PROVISIONS OF ANY OTHER � <br /> STATE OR LOCAL LaW FEGULATING CONSTRUCTION OR THE PEFFURMANCE OF CONSTRUCTION. THAT I AM AUThOA1ZE0 BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH AP?LICA710N IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS Ll�W iB.27 FCW AND 296200 WAC. /-�n <br /> �,,� � -/�.•�� <br /> � <br /> - , /Z?-/� � FEE <br /> Signature Dete I <br />