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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVBRE'('[' <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> E��TT, WA 98201 <br /> /�O gP,t T ✓ /�G�G�<G r // // . 259-8810 <br /> Owner � ���14 /I�G ry� /�/I'Kc <br /> Mail Address Cit �� ��"�'� �7l-/�q' <br /> �/b� � Y State/Zip P6one <br /> Tenant Mail Address <br /> City State/Zip Phone <br /> OWn�P /— <br /> Elxtrical Contractor Mail Address <br /> City State/Zip Phone <br /> State LicenseNo. <br /> Contract Price of Work �'� +� \ <br /> Proposed Use of Building <br /> � oZ �,� T- ,�aQe �'��,�� T <br /> Project Address T I <br /> Description of Work to Be Done:__/✓/�(� a�,� /�M� �.���C�p <br /> �� � K��,- � _ �- <br /> ..�5 tL L✓ .3 /O � ' �,].ZU <br /> i <br /> NOTE:WqC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL �NORK AT EDUCATIONAL, INSTITUTIONAL <br /> OR HEALTH CARE FACILITIES BE APpROVED BY TH[ STATE OF W;�SHINGTON. APPLICANTS WITH SUCH <br /> JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY 0� �VERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN METALLIC RACEWAyS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS�. <br /> HANDICAPpED ACCESSIBILITY; ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALIS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MIIJIMUM <br /> OF 15 INCHES ABOVE TNE FLOOR. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES GF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF THE 1991 u.B.C. SEC. 3106(b)4 AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK W�LL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WpRK FOR WHICH APpLICATION IS MADE AND I COMPLY <br /> WITH THE STATE CUNTRACTORS LAW 1g,27 RCW qND 296.200 WAC. <br /> X ��� �S�`�� ���` �- <br /> S�gnature r�_ � <br /> D�tu <br /> �`��'`'�� <br /> ��«erv�nai9a� <br />