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APPLICA( 10N FOR ELECTRICA(�. PERMIT <br />CITY OF EVERElT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVEREIT, WA 98201 <br />PHONE: (425)257-68I0 <br />F,q)(; (425)257-8857 <br />6O I U �.UwE�.� F-r�AD <br />PROJECT ADDRESS <br />" � �O �� ���y StatelZip Phone <br />Owner Mail Address <br />Tenant <br />Elecirical <br />Mail Address <br />Mail Address <br />S��mn'1tr i000K� <br />State License Number <br />S � �. <br />Proposed Use of Building <br />City State2ip Phone <br />� �w S-rAN �D �UA � � 2q Z <br />�i�y StatelLip Phone <br />�350o y2� �a`a s�s� <br />Contract Price of Work <br />Descriptian ot Work lo Be Done: W l��� Sr ^ <br />Con:act Person (Plan }�aview) <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 />E UCATIONAL FACILBITIc�S AND ALL �HFALTH CARE FACILITIES' PLA S WSLLEBE REV EW ED BY THIS OFFICE. HER <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RE.CEPTACLES ON WALLS <br />OF 5I WCHES ABOVE THE FLOOR.AWAC 5120 SEC B 106(c)2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIFONMENTAL AND OTHER CONTROL RECEP?ACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC SE 20 SEC.�3N 6(b 4CE & F� AND N�OIrEES�S THANv 6LINCHES ABOV�E THE �F OOR IN THE REACH <br />1 HEAE�Y CEFTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND COftRECT. ALL <br />PROVISIONS OF LAWS AND OFDINANCES G"OVEFNING THIS TYPE OF WOP.K WILL 6. COMPLETED WNETHER SPECIFIED HEFEIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA 'E OR CANCEL THE PRGVISIONS OF ANY OTHER <br />OWNEFi OF�HIS PFOPERTY�TO PERFORMUTHE WORKTFOFEWH�CH ArPPLICAT/ONSSpMADE ANOHACOMPLYUWITH'ZTHEBST.iTE <br />CGNTRACTORS L.4 bY 18.27 RCW AND 296.200 WAC. <br />Signature <br />ELECAP(REV 898� <br />Date �Q� �� <br />FEE <br />