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APPLICA � ION FOR ELE�`�RICAL F�ERMIT <br /> CITY OF EVEREIT <br /> BUILDING Dll/ISION <br /> 3200 CEDAR SiREET <br /> EVEREIT, WA 98201 <br /> YHONE:(425)257-88I0 <br /> FAX: (425)257-8857 <br /> �,,ro/- S i_. F_U�n�r> ��IiL G�A �/ s l�/�� ia_o/�C; <br /> PROJECT ADDRESS <br /> Owner Mail Address City State2ip Phone <br /> I--ZY,vARD ✓!�/g'" /�7N�S,cr-a�n_y7 �J7.9//_ /..01' �UF,���j' �.�% <br /> Tenant Mail Address City State/Zip Phcne <br /> t?,/-S7/��� E/�yili� 7��•C/�,c➢.cP.� s>_ f..ZJfJ7o4/Al' GJ/l_ `�c�SJ� %�r's/`/-%.5 <br /> Eleclrical CoNractor Mail Address Ciry Stale2ip Phone <br /> TT IS%�d777�/� � <br /> /�GY�, � <br /> State License Number Coniract Price of Work <br /> /�l-f��G' SY/��� <br /> Proposed Use of Building Contact Person (Plar. Reviewl <br /> Description ot Work lo Be Done: j�N�i(ir' T�' ��i /2C' C'/jC�//�l' <br /> NOTE: PLANS FOR ELECTRICAL WCRK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE UF WASFIIN:;TON. APPLICANTS WITH SUCH JOBS MUST SHOW THE :,'TATE <br /> APPROVED PLANS BEFORE CITY OF F_VERETT PERMIT WILL BE ISSUED. WAC 296•46-140. ALL O''HER <br /> EDUCATIOPJ4L FACILITIES AND ALL HEF,LTH CARE FACILITIES PLANS WILL BE FitVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCtSSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACIES ON WALLS <br /> WITHIN ACCESSIBLf_ SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUh� <br /> OF 15 IfvCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br /> ENVIHONMENTAL AND OTHER CONTROL RECEPTACLES AND OiHER OPERABLE EQUIPMENT WITHIN <br /> ACC�SSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE fv10UNTED WITHIN THE REACH <br /> RAPJGES OF WAC 51-20 SEC. 3106(b)4 E S F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CEFTIFY THA7'I HAVE FEAD AND EXANINED THlS APPCICATICN AND KNOW THE SAAIE TO BE TRUE ANO COFFECi. ALL <br /> PFOVISIONS OF LAWS AND OI?DINANCES GOVERNING TH/S TYPE OF WOFK WILL BE COMPLETED WHETHER SPEClFIED HERcIN OR <br /> NOT, THE GFAN7ING OF A PEFh11T DOES NOT PFESUh1E TO GIVE AUTHOFITY TO VIOL7TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULITING CONSTRUCTION OR THE PERFOFM1fANCE OF CONSTFUCTION. 7HAT 1 AM AUTHORIZED BV TNE <br /> OWNEA OF THIS PROPERTY TO PEFFORhi THE WORK FOR WHICH APPLIC:ITION IS hiACE AND I COM1IPLV WITH 7HE S7ATE <br /> CONTqAC70F5 LA4Y 78.27 FCW AND 296.200 WAC. <br /> �_/�G//l�,/�(./� r�//./f%"�l'/i ,�d�.,�� FEE <br /> � <br /> SignaWre Date ���p a_�a�� <br /> ELECAP(REV 898i <br />