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APPLICw► �'ION FOR ELECTRICA�. PERMIT <br /> CITY OF EVEREIT <br /> BUILDING DIVISION <br /> 3200 CEDAR SiREET <br /> EVERETf, WA 99201 <br /> PHONE: (425)257-8810 <br /> FAX: (425)257-R857 <br /> 8 S3 c� �iv�n.[1�_(�.� <br /> qqU�6,CT ADD_�iESS v <br /> ��il(!(lYl r�0 <br /> Owner <br /> Mail Atldres9 Cily Stale2�p Phcno <br /> �/� �C <br /> Te nt <br /> Mail Addross Ciry State2ip Phone <br /> � • i ron h /L �� q$:�� 3GC� �s� -r3��:; <br /> �M I Di\ C� (�C�'Ll(' b�UL- State2i Phone <br /> Elactrical Contractor Mail Addross �'ry P <br /> �OINfiI .148DE �-49', t�l I <br /> State License Number Gontract rice of Work <br /> ��/lcfl ��� — <br /> Proposed Use of Building Contact Person (Plan Revievi) <br /> �,�1,UV �/Y�l�+�.l �.,�'�nnn c1MG1� ILUM CU�d�dd� '-rT.��—�— <br /> Description o(Work to Be Done: � <br /> �� � 1� �,_ , �7� • <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 6E <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS P.9UST SHOVJ THE STATE <br /> EDUC�TIONAL FACILBIT ES AND ALL�E�+LTH CARE FACILIITI SIPLANS WILLEBE REV EWED BYTHIS OF I OTHER <br /> NOTE: W IRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF 16 NCHES ABO E THECFLOOR.AWAC 51A-20 SEC 3106(�2 TES OF TRAVEL SHALL BE MOUNTED A MINIMUtv1 <br /> ACCES�Srl,B ENSPACES OR ALONG A�CESS�IBLE OUTES OF TRA E�SHA L E�MOUNTED W TH NETHE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIr'Y THAT 1 HAVE FEAD AND E.':Ahi1NE0 THIS APPLICATICN Ati0 KNOW 7HE SAbIE TO BE TFUE AND CORFECL ALL <br /> PFOVISIONS OF L74VS AND OFDINANCES GOVEFfJING 7HIS TYPE CF WOFK WILC BE COMPLETED GYHETHER SPECIFIED HEREIN OF <br /> S�ATE OR LOCAL L.1�FEGULATING CONST UCTION OR THE PEFFOF�ANCE OP LO S�FUCTION.L THAT fiOM A'UTHOFIZED BYT TH� <br /> CONTR CTORS'L7LY�8.27FC lA�ND296FO.F'WAC.E WOFK FOR WHICH APPLICA710N IS MAOE AND 1 COh1PLY WITH 7HE STATE <br /> G,Q�� �� I —I S 'O 1 FEE <br /> Signature Date � _ <br /> C / <br /> ELECAP(REV898r G d(D� ' �� J <br />