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APPLIC �TION FOR ELECTRIC' '�L PERMIT <br /> CITY OF c VER� <br /> 6UlLDlNG DlV/SION <br /> 3200 CFDAR STRE�i <br /> cVtX� WA 9870> %����(G'�� <br /> (425J 257-8@70 ��/'iF. <br /> C- c,�e�-�o� <br /> // 2 2 7',v,v�rs.-Ry S7-,�E'r- <br /> PROJECT ADDRE55 <br /> G��4-TT.c E1a/v�l1E✓'.J�.L C Q 2 70G - 58�N/<R�s,so�.�,(( /�� �i¢9��31 <br /> Owner MailAdCress Ciry State2ip ?none <br /> ..5�'9�'%� %a�/,� <br /> Tenant Mailr.tltlress C*� StatelLp Phone <br /> United Electri.c Contractors, Znc. 5301 South 2nd Ave�ue, �veratt, i•:N 98203 425-252-7811 <br /> Electrical Contractor Mailhdaress Ciry State2i <br /> D Phone <br /> UNITEEC 176 !•76 ,���_\_�(/1 ���) <br /> State License Number Cont� Pri�e of Work � <br /> �.4.P�f�OClS�'' , S/✓6�G <br /> Proposed Use o`Euilding Contact Person (Plan Review) <br /> Description of Work to 9e Done: /{/F4.J (o OD/7-/jP �,C!/jCE � � - Jti/I/� .JEL <br /> Si7E LiGf/T/.eJS Fj.P�.A.e,�,drl ` �r . � c- � � .. <br /> NOTE: PLANS FOR ELECTRICAL WORK AT �DUCATIONAL, =ACILITI�S UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATc Or WASHING70N. APPUCANTS WITH SUCH J06S MUST SHOW THE STATc <br /> APPROVcD PLANS BEFORE CITY OF cVEREIT PERMIT WILL 9� ISSUED. WAC 296-46-140. ALL OTHER <br /> cDUCnTIONAL FACILITIES AND ALL HEALTH CARE FACILITI:.S �LnNS 1NILL Bc REVIEWcD BY THIS OFriCE. <br /> NOTE: WIRING IN NON-DWcL�INGS IS nEQUIRED TO 9E IN R4C�WAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITI': CL�CTRICnL AND COM69UNICi+TIONS SYSTENI P,�CEPTACL�S GN WALLS <br /> WITHIN ACCESSIBLE SPACcS OR ALONG ACCESSI9LE ROUT=_5 OF TRr,VEL SHALL Bc MOUNTED A MINIMUM <br /> Or 15 INCHES r',50VE THE FLOOn. WAC 5i-20 SEC. 390o(c)2. <br /> ENVIRONMENTAL AND OTHCR CONTROL RECEPTACLES AND OTHER OFERABLE EQUIPMENT WITnIN <br /> ACCESSI6LE SPACES OR ALONG ACCcSSIBLE ROUTES Or TF2r',VcL SHALL 6E MOUNTED WITHIN THc R�Cr <br /> RANGES OF WAC 51-20 ScC. 3106(b)4 � & F AND NOT LESS THAN 35 INCHcS ABOVc i HE FLOOR. <br /> ! NcRcBY CERiIrY THAT I NAVE n�AD AND :;lnMINeD 7HI5 APPLICi.iIGN AND KNOW TN� SAME TO BE TRUt AND CORRECi. AL' <br /> PROVlSIONS DF L;LVS AND ORDLVANCtS GOVEnNINu 7HI5 TY?E Or lh'ORK tl'!L °E COM1!?�i EO Lh�Hc�N,ER SF=�IFI�D HE,4��N Ort N.7", <br /> i HE 627NTlNG OF A PErZMIT DOES NOT PRESUME TO G1VE AU7HORITY i 0 V10L4 i c OP, CANCEL THc PROVISlONS OF ANY 0 i HtR 5T,4�c <br /> OR LOGL U1 LV R�GUL.7TING CCh'Si.4UG710h'Ofs iHc F=RFOR�dAh'CE OF CGNSinUC�ION. TN.Ar l A�.f AUiNOR!?=D&Y iN,E OrYNtn 0` <br /> THIS PROP=R iY TO PERFORM i H'c L4'ORF;FOrt :NHICH q?PJCAilON IS h'ADE AND 1 COMFLY WlTH THE STATE CONTRACTORS LfilM1'182i <br /> RGlYANO:9E.:00 l6'AC. <br /> � <br /> ,' /� <br /> i ' i� / <br /> ��,�� ," � � ����JS FEE <br /> Signature D��,e ��{��er, Princin�l Date <br /> nc=�aAcv ue� �` <br /> C�%�`�Y� -���� <br />