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qpPL;C.�; TION FOR ELECTRiCA�' PERPJIIT <br />ClTYOFE✓ERETT <br />6UlCDlNG DlV/SION <br />3200 CEOAR STREET <br />EVERE7T, WA 9820> <br />(425J 257-88>0 <br />�a�s �� � �E <br />PROJECT ADDRESS _ „ <br />Owne� <br />Tenant <br />�. r � <br />�,e.�T/G� <br />M il Address ���Y <br />Mail Addrew ��ty <br />iNG ¢dp/ Glf���L <br />ElectricalContractaf Ma�tAddres;, <br />���zE7 � �i3 B� <br />State License Number <br />2%NT�rc_. �i' F�/ c�F <br />Proposed Use of Building <br />Description of Wark to Be Done: <br />City <br />S�ate2ip <br />� <br />rnone <br />Phane <br />StalelLip �ZS'" 7'�/_ - PhoneJ34 <br />�QY J�D. �.� <br />Contract Price of Work <br />M, � �n ec3' <br />Contact Person (Plan Review) <br />� <br />�� � <br />NOTE: PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS Ml!�T 9E <br />APPROVEU PLANSEF3EFOFE�CIIY OFHEVERETT PERMTAWILL 6IEHSSUED.J WACM2J646-1 OW ALL OTHER <br />EDUCATIONAL FACILITIES ,4ND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED SY THIS UFFICE. <br />NOTE: WIRIfJG IN NON-DWELLINGS IS fiEQUIRED TO pE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAP°ED ACCESSIBILITY: ELEC7RICAL AND COMMUNICATIONS SYSTEM RECEPTACLES OH WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE htOUNTEJ A h11NIMUM <br />OF 15 INCHES ABOVE THF FLOOR. N!AC 51•20 SEC. 3106(c)2. <br />ENVIRON�dENTAL AND OTHER CONTf20L RECEPTAC�ES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR A�_ONG AC.ESSIBLE ROUTES CF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-2C SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEAEBY CERTIFY THAT 1 HAVE READ ANO XAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AA'D CORRECT. ALL <br />F'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYFE OF WORK WILC BE COMPLETED WNEiHER SPECIFIED HEREIN OR NOT. <br />'NE GRANTING OF A PERMIT DOES NO7 PRESUME' 70 GIVE AUTHORI7Y TO VIOU7TE OR CANCEL THE PROVISIONS OF ANS' OTNER STATE <br />OR LOCAL LAW F,EGULHTINC CONSTnUCTlON OR THE PERFOR�UfANCE OF CON57RUCTION. THAT I AM AUTHORIZED �Y THF O WNER OF <br />7H/S PROPERTY TO PEFFORfATHE W�ORi( FOR WFII:H APPLIGATIJN IS MADE AND 1 COMPLY WITH THE STATE CONTR.QCTORS LA W 18.27 <br />RGW AND 296.200 WAC. <br />L/ // {f — � � z Z—'�.� <br />11- - <br />Signaturt / � Dale <br />n�:f+`cnwnu� <br />PEE ���� � � <br />