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� ( <br /> APPLICATIOIV FOR ELECTRICAL PER1►IIT <br /> CITY OF FVERElT <br /> BUILDING DIVISION <br /> 3?00 CEDAR SIREET <br /> EVERElf, WA 9920I <br /> PHONE:(425)257-8a10 <br /> FAX: (475)257-8851 �/„/� <br /> c.� <br /> �'I/� )L�h � • �' - 3 ( z1aS� <br /> PROJECT ADDRESS 3 39 - <br /> �-1'� � nr.�z �DBdx �`"�s3 �ier��J Gc��- 9B�1 �301,.✓� <br /> OW�2f MaA Adtlress City Slale2ip /,p o <br /> ` \`� v�� <br /> .)� � <br /> Tenent <br /> MaillJdres6 City Slete2lD /��ne_ <br /> .�'A�',� .- / �%�_1,=1� NF �n/Sf ,�h� Jl � �gOJJ y��-�397 <br /> � Sla 2i Phone <br /> Electr cel CoNrector Med nddress �nY P <br /> ,DA�,�n r= /1�l /�d � .L�D <br /> Slete Ucense IJumber Contr: :t Pri e of Work <br /> �r� h hous�e �.�sl;���� �'�� -i,397 <br /> �1'oposed Use ol BWlding Contact Person (P'en Review) <br /> Descriptlon of .Jork lo Be Dono: � l r li�./� T TL�Y �`�'`'�/ � / h l`��a�Cr <br /> �%r cu� � -�'o � ��/�,�h�P <br /> NOTE: PLAIJS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. A?PLICANTS WITH SUCH .�OBS MUST SHOW THE STATE <br /> EDUCATIONAL FACILBITIE�S AND IALL�EALTH CARE FACILITI SI PLANS WSLLE E REV EWED BY THIS OF�I�THER <br /> NOTE: WIRING IN NON�DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTFICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OFT SI NCHES ABIO E THE FLOOR.AWAC 51A-20 SEC13 1p6(�pTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AIJD OTHER OPERABLE EOUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�3N 6(b)4CE R F ANO �OITLES�S THAN 36LINCHES ABO EUNHE 1 LOOR.�N THE REACH <br /> �_� <br /> I HEREBY CEATIFY iNAT I HAVE READ 4ND EXAMINED THIS A?FLICAiION AND KNOW THE SAM17E TO BE 7RUE <.ND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TY7E OF WOFK WILL BE COMPLETED WHETHEF SPECIFIFD N@REIN OR <br /> NOT, THE GRANTING 0�A PEFMIT DOES NOT PRESUh1E TO GIVE AU7HJRITY TO VIOLATE OR CANCEL THE PROVISIOIJS OF ANY OTHER <br /> ONlNEfi OFOTHAS PFOPERTYATO P ROFORMUTHTE VORKrFOFEWH�CH�APPLI�ATICN515Fh1ADE ANOH� COM1IPLYUIVI�THIZ7HEBSTATE <br /> CONTRACrORS LAW 18.�;FCW AND 296200 WAC. <br /> � �l�l�.(D ��xft/� Y ��U `'1J I FEE <br /> ignature Dete �IGI, �y_� <br /> -�'l.W <br />