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CITY OF tVE(iLTT <br />EiUIL�ING DIVISION <br />3200 CFDAFl STREFT <br />EVEIiEfT, WA g8201 <br />APPLICATION FOR ELECTRICAL PERMIT <br />1 <br />v <br />1��L i�z ~ A�-�._ <br />PROJECT ADDRESS <br />ow„�� <br />Tenan[ <br />Electrical CcnVactor <br />Addrefe <br />Meil Addreee <br />Moil Addrn � <br />-�1 A �K'S ��l � 2 �L3 <br />State License Numhr� <br />y ����,dC� <br />Prop�sed Usc } BuilAing <br />Des�r�ption of Work to Be Done�. <br />City <br />Ciry <br />259•3810 <br />�a� s� g��...� � 51�—`/F ?'7 <br />Stete2p Fhane <br />Stete2p Phone <br />Ciry � Stete(Lp Phone <br />�. d� � <br />Contract Pr ce of Work <br />NOTE: PLF�NS FOR FLECTRICAL WORK F.T EDUCATIONAL, INSTITUTIONAL OH HEALTH CARE FACILITIES <br />MUST BE AP�'ROV�D BY THE STATE OF WASIiINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW ThtE <br />SiAT[ APPRO'✓ED PLANS BEFORE CITY UF EVFRETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br />NOTE: WIRi'JG IN NON-D\NELLINGS IS RE�UIRED 'f0 BE IN RACEWAY�. (MC AND AC ARE CABLES, NOT <br />RACf WAYS. <br />HANDiCAPPED ACCESSI�ILITY: ELECTRICAL AND COMMUNICATIONS SYS7EM REC[PTACLES ON WF.�L.S <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSItiLE ROUTES OF TRAVEL SHALL �E �10UNTED A MINIMUM <br />OF 15 INCHES A�OV[ TfiF FLOOR. WnC 51-20 SEC. 31061c12. <br />ENVIfiONMENTAL AND OTfi[R CONTROL RFCEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />nCCFSSIpI.E SPAC[S OR ALONG ACCESSIDLE ROUTES OF TFAVEL SHALL �E MOUNTED WIThIIN THE REACfi <br />RANG[S OF WAC 51-20 SEC. 310G�b�4 E& f- AND NOT Lc'SS THAN 3G INCHES ABOVE THE FLOOR. <br />/ HFFCQY CF%�(lFY T114 i///qVE RFi1D qND EXAM1IlNfO T�25 nPPLIC.47/ON ANO KNOW 7Nf SA,47f TO Bf TRUE AND CORRECL ALL <br />PROV/5'oNS OF I n 1v.s nN0 nr70.; 'aNCfS GOVfRN/NG T}��g ; VpE OF WORK W/LL 9E COMPLE7ED lM1?{E7NER SPfCIF/ED HEHf/N OR NOT, <br />Thf GR4NT/NG OFq PERhl/7 CO[c NOT PRESVME TO C,IVf AUTh'OR/Tl' TO VIOLATE OH CANCEL THE PROV/S/ONS OFANY OTHER STA JE <br />OR (OCA( (11 W H£,ULAT/NG CONS7RUCTlON OR THE PER{"OR,4t4NCf OP CON57HUCTlON. THAT l AM AU7NOR2ED BV TNf OWNER Of <br />JFqS PRGPfR7Y' 70 PERFOR,SI TIIE WORK f04 WI/lCH APPUCATION l5 blAOf ANO / COMPL Y INITH THE ST.4 7E CONTR.4CTOHS lAW i 8.77 <br />RfVV.9/:0:9r.:n� IYqC <br />.. 1,���G(.�.�M ���_ <br />— — ---- — — - _. <br />ti��:,�,�•.�-, �,��� — <br />Ss 5'd� <br />F[f: _ __� �`� <br />I�Ic�.nnrv ms� <br />