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(� �;: <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVEREIT <br /> BUILDING DIVIJION <br /> 3200 CEDAR STREEi <br /> EVfRETf, WA 98201 <br /> PHONE:(425)257-88)0 <br /> F.+X: (425)257-8857 <br /> ����� �m �a o-� <br /> PROJECT ADDRESS <br /> �ii-�iv� s l y1r> >v1���/��o /3/��/ /r�-�r� 1�� �3 (4-as`3 s,3-9a3o <br /> r <br /> Owner Mail Address City Stale2ip Phone <br /> VQ C diW�, <br /> Tenant Mail Address City Slate2ip Phone <br /> J_o(2a� �%�e�fl,'c_ l�'�<)4 5/Z �U ,!✓!'i r��✓1� ��" ��-ot��3!!i)''l 3�`6 r� � <br /> EIeC'rical CoNractor M11ail Address City State2ip Phone <br /> ��F4�--L E � c�9r�P <br /> State License Number Contrect Price of Work <br /> Proposed Use of Building Contact Person (Plar, 9eview? <br /> Description of Work to Be Done: �S'�c2'/(� y ?'DH-2 ���C(/ S — Oh 2 i �l e4�vl <br /> h e GC V'cn GU <br /> NO?E: PLANS FOR ELECT� ;CAL 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 /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING 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 /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE 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 CERTIFY TNAT I HAVE READ AND EXAMINED THIS APPL/CATION AND KN04Y ?HE SAME TO BE TRUE AND COF.4ECT. ACL <br /> PFOVISIONS OF LAWS AND ORDlNANCES GOVERNING THIS TYPE OF WOFK WILL 6E COMPLETED WHETHER SPEClF/ED HEREIN OR <br /> NOT, THE GRANTING OFA PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VI^�TE OR CAi JCEL THE PFOVISIONS OFANY OTNER <br /> STATE OA LOCAL WW FEGULATING CONSTRUCTION OR TNE PEFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THlS PFOPERTY TO PERFORM THE WORK FOR WH/CH APPLICAT/CN IS MADE AND / COMPLY 'NITH THE STATE <br /> CONTRACTORS L:7W 1827 FCW AND 296200 WAC. <br /> Eo�v�4-n�l <br /> �(/"'I `�i ""�I% " ` LI—�('J� D/ FEE <br /> 7, <br /> Signature Date <br />