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APPLICA-ION FOR ELECTRICAL PERMIT <br />CITYOFEWRETT <br />Z L%NG "$ION <br />RSrRE <br />EEVVEEI 7T, WA 08220 <br />(I25) 2ST-MIO <br />Yzl3o S6,L-L, ../ /" ,. g 3 <br />PROJECT ADDRESS <br />Tenant <br />/ MIN Address c C-a;. Stale0p Phone <br />wo <br />=6,4rin rnntnctor Mea AOMsse City St"Op Phone <br />State License Number <br />ri__ 44< <br />Proposed Use of Build <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: _ <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY STATE OF WASHINGTON.MUST SHOE STATE <br />APPROVED PLANSEBEFORE CITY OF EV RETT PERMTANTS WILL BIER SUE:D.SUCHJOBS 2 WA 9846-1 OW ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN <br />SPACES ALONG WAC 51 ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THEFLOOR. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OFEWAC 5E 20 SEC. S OR f ALONG ACCESSIBLE <br />E F AND NOT LESS THRAN 38 INCHES ABOVE THE VEL SHALL BE MOUNTED WITHIN THE REACH <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS ?YPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT <br />THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATt <br />OR LOCAL LAW ING CONSTRUCT70NRFORMANCE OF CONSTRUCTIO. THAT I AM AUTHORrZED By THE OR OF <br />THIS PROPERTY TOGPERFORM THE WORK FOR OWH CH THE APPLICATION IS, MADE AND/ COMPLY WITH THE STATE CONTRACTORSW 18.27 <br />RCW AND 29e.200 WAC. <br />1aX5 /�LJ-,g FEE 3� <br />Signature Date `'7-- <br />RECOMrvwr <br />