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APPLICA�ON FOR ELECTRICA�PERMIT <br /> cm oF eveRerr <br /> nUi1DING DIVISION <br /> 3200 CEDAR STREF.i <br /> FVERETl, IYA 9820I <br /> PHONE:(425)257•8810 <br /> FAX: (425)257-8857 <br /> Z3z3 ��c�c5o� <br /> PROJECT ADDRESS <br /> L � srr�� �;d+�Y� <br /> Ownef Idail Address Ci�y State/Zip Phone <br /> Tenant Mail Address Ciry State2ip �25 P���y3� <br /> �l�P� �✓oA..�,O LtGTYzi C 34� 34T�`Ati� 7� r ����'T wO" �Q'7�S <br /> Eleclrical Contraclor Mail Adtlress Ciry State/Z�p Phone <br /> -i P�or�Sti��'eo� �3 Pk6 � \�ao .oU <br /> Sta�e License Number Conlract Price of Work <br /> Q2�S-i txivcC � 5 � � �JT�v� Q62ov�� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �Ob �(Jr-�,r,� �G'2,U�C P — <br /> ,f � � �"S1 —L�L.L`2.�.L ��to <br /> i <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTOI�. APPI.ICANTS WITH SUCH JOBS MUST SHOW ThIE STATE <br /> EDUCA IONAL FACILBITIE�S AND ALL�HEALTH CARE FACILIITIE I PLANS WSLLE E RE EW ED BY THIS OFFICE.HER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDI.r,APPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM HECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE POUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FL.00R. WAC 51•20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE �E�UIPMENT 'ITHIN <br /> RANGESI OF WAC SE 20 SEC.�3N 6(b)4CE & FI AND N�OT LES�S THAN 36LINCHES ABOV�E THE�F OOR IN THE REACH <br /> I HEFEDY CERTIFV THAT I HAVE READ AND EXAMWED TNIS APPLlCATION AND KNOW THE SAh1E TO BE TRUE AND COFFECT. ALL <br /> PFCVISIONS OF LALNS AND ORDINANCES 60VERNING THIS TYPE OF WOFK 4VILL BE COfviPLETEU WHETHER SPECIFIED HEFEIN OR <br /> NOT, TNE GRAN7ING OF A PERMIT DOES h'OT PRESUME T'O GIVE AUTHOFITY TO VIOL4Te OF CANCEL 7HE'FOVISIGNS OF ANY OTHER <br /> S7ATE OR LOCAL L:IW REGUL771NG CONSTFUCTION OR THE PEFFORMANCE OF CCNSTFUCTION. THAT 1 AM AUTHOAIZED BY THE <br /> OW1VtR OF THIS PFCPERTY TO PEFFOFh1 THE WORK FOR WHlCH APFLICATICN IS MADE AND 1 COhiPLY :NITH THE STA7E <br /> CON7RACTOFS LALV 1827 FCW AND 256200 VJAC. <br /> ��Q � � ���bl FEE ��a0 <br /> Signature Da�e <br /> ELECAP(FEl'898r �- �� �6 —p�6 <br />