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� <br />ELEC�ICAl. PERMIT AP� LICATION <br />CITY �F E�ERE,TT PERMIT SERVICES <br />3200 GEDA� STREET, EVEFiETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />/3/a� .i'�/,�-% C O/o 7 -O/� <br />S C�G / c �� r� /.7�� � C <br />PROJECT ADDR/ESS 1 u`�1 rq <br />Sl�CrwN //OfJ<.or �'7>U LCic.�✓P ��/�L'e C!/t'iF%�r G✓� ��Oa� .�-5���/�,,.% <br />Owner <br />Sl�arL <br />Tenanl <br />Mail Address <br />Mail Atldress <br />City <br />Ciry <br />State2ip <br />Stale2ip <br />Phone <br />Phone <br />�/'oY�,�..,i��.i-. ��'���>�.Liac %�D ./Si%�c �,Z S'�Y1.'��-r ���G< <7rr'�.1� �'ov-YSr=C?�-z <br />Electrical Contractor Mail Addrass Crty S�ate2ip Phone <br />/ %�i �' /' � � LD 7 7(�% � _ <br />�State License Number <br />�1,.S J'i�-c <br />Proposecl Use ol Building <br />Qescription of Work to Be Done: <br />/�/ <br />% <br />Contract Price of Work <br />Con�act Person (Plan Review) <br />p:� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MLiST Bf_ <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />E UCATIONAL FACILBITIEOS AND ALL H�EALTH CA E FACiL!TIESI PLANS WSLLEB REV EWED BY TH�S OFFI OTHER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO 8F. IN RACEWAYS, (�� vR AC CABLE <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIGNS SYSTEM RECEPTACLES ON WALLS <br />W IThIN ACCESSIBLE SPACES OR ALONG ACCES:,IBLE ROUTES OF T� �AVEL SHALL BE MOUNTED .4 MINIMUM <br />OF 15 iNCHES ABOVE THE PLOOR. WAC 51-�0 SEC. 3106(c)2. <br />ENVIRONMENTr�L AND Ol�HER CONTROL RECEPTACI.ES AND OTHER OPERABLE Fi]UIPti1ENT WITHIN <br />RAMGESI OF WAC 5E 20 SEC. 3N06(b aCE t� FI AND OT E SOS THAN 36LINCHES ABOV�EU?'rIE FLOOR.'N THE REACH <br />I HEFEBY CEFTIFV 7HAT ! HAVE FEAD AN� EXdM111NEG THIS 4FPLICATICN AND KNOIV THE SAME r0 BE 7FUE ANO COFFEC7 ALL <br />PFOVISIONS OF LALYS aNU OFDINANCES GGVEFNING TrlIS T}PE OF WOFK 4VILL 5t CCMFLETED WHE7HER SPcCIF1ED HEFE!fJ OR <br />NOT, rHF GFANTLVO OF A PEAMIT UOES NOT PFESUhfE TO G.'VE AU7HORITY TO VICIATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br />STATE OR LCCAL LAV✓ FEGUL471NG CONSTFUCTICN OFi THE PEFFCFM1IANCt CF COh'STnUC710N. TFiA71 AAf AUTH051ZED BY THE <br />OWNER OF THIS PflOPERTY TO PERFOFh1 THE WOFK FOR 6b'HICH APFI.ICA7ICN !3 h1AOE AND 1 GOMFLY WITH THE STATE <br />CONTFACTOFS L4W 1827 FCLV ANC 29G.ZG0 IVAC. <br />��,%s <�,�- � -� . ,�l . - �1 �; c'l <br />��:—' --r— <br />Signatare Date <br />ELECAP�FEV 8R0�i) <br />FEE � <br />