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ELE(;TI,�CAL PERMIT APF �ICATION-� <br /> GITY OF EVEREIT PERMIT SERVlC�S <br /> 3200 CEDP.R STREET, EVEAETT, WA 982C1 <br /> 425-257-8810 - FAX 425-257-8857 <br /> / l�� ;/ /.��� l/ Lc> <br /> PROJECTADDRESS ,,-- �j�,--3�� <br /> ��.., . <br /> (�i N�'. "? /7� �i�'_�'_ /O��%/ /-''^=-� .r1'I/ (r] Z r'�'�/-'/�.�-� :T . �UeJ �>F's���¢ <br /> i <br /> Owner Mail Atloiess City Stete2ip Phone � <br /> c-fl-9/9%= <br /> Tenant Mail Address City State2ip PhnnP <br /> �L CJ �- <br /> /=/'� l �� �?i�;-t ��/i i ;��-� �% s/ �.yv/fr-or�si/ iU/r �i�,���_ in��'-��:� <br /> `01ectdcal ContraCtor Mail Address Ciry State2ip Phone <br /> /,-i/.'/ �_'� i'= T� �'r= b 9 <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description uf Work to Be Done: it�'<�._�' �'!� n� �' � %�5 i iZ�7 <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCA'�IONAL, FACII !T:�S UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGi'ON. APPLICANTS 7vITH SUCH JOBS MUST SHO\N THE STATE <br /> APPROVED PLANS BFFOHE CITY OF EVERErf PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACIL iES AND ALL HEAI_TH CARE FACILITIES PLANS WILL BE REVIFWED BYTHIS 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 ACCESSIBLE SPACES OR Al_ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE TH� FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND O-fHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE FOUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOJE THE FLOOR. <br /> I HEREBY CERT/FY THAT I HAVE READ AND EXAMINED THIS APPUCATION FND KNOW THF. SF�NE TO BE TRUE AND COARECL ALL <br /> PROVISIONS OF LAWS AND OF.OINAN.^.ES GOVERNING THIS TYPE OF WORK WILL BE COHiPLE7ED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRAfJTING OF�A PERMIT DOES NOT PAESUME TO G/VE AUTHORITY T(7 V/OLATc OR C4N�EL THE PFOVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGUL4T/NG CONSTRUC710N OF THE PERFORMANCE OF CONSTRU:;71UN. THAT I AM AUTHCRIZED BY THE <br /> OWNER OF Tf.'IS PROPERTY TO PERFOAM THE WORK FOR V�h,CH APPIIC,�T10N IS NADE ANn I COMPLY WIrH THE STATE <br /> GONTHACTORS LAW 18.27 RCW AND 296.2U0 WAC. <br /> �� � W �/�f/!� -�-�- FEE <br /> � �y � �.L_� <br /> Signature Date <br /> ELECAP�REV Bf2001) C vL//� � O�. / <br />