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� <br />� <br />ELE�TRICAL P�RMIT ���PLICATIOt� <br />CI7Y OF EVLr-RETT PERMIi SERV[CES <br />3200 CEUAR STREET, EVEF.ETT, WA 98201 <br />425-257-8810 - FAX 4'_'5-?57-8857 <br />if�2 � G ���.��-� r�-r � 1,c,�-���r cv;� 9�z� � <br />PROJECT ADDRESS <br />f/i �l C��flN /%F'/.N � f�'�E ' c j �1-� /� (/�.� s s C:.�� 1/✓A� �7 � /U � <br />Owner Mail Address City State(Zip Phone <br />�;�ZG�cJa'S ���!'.r) d Din,�o,�.�i� <br />Ten�nt � Mal! Address City StatelLip Phone <br />�3��1YG��c �rs��rir i�� G�i 4�"� —s7� /� tt, � se.�l, tti.4 � 8 ev � <br />Electrical Conlractor Mail Address City StatelLip phone <br />l-2F�1°ia`n�v �'6 ,� z '��[7J <br />Stale License Number Contract Pnce o( Work <br />fZz��c. _ <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Wak to Be Done: ��i% ;�'j� �� `��1 `�n� _ <br />NOTE: PLANS FGR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVEU BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVEREfT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACIUTIES PLANS WILL BE Rr �IEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPP[D ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG P.CCE�SIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 1� INCHES ABOVE THE FLCOR. 'NAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES 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 ABOVE THE FLOOR. <br />I HEAEBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS APPLlCAT/ON AND KNOW THE SAhfE TO BE TRUE AND CORFECL ALL <br />PFOVlS/ONS OF L7WS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClF/ED HEFEIN OR <br />NOT, THE GRANTING OF A PERMIT OOES NOT PAESUME TD GIVE AUTHOFITY TO V/OLATE OR CANCEL TNE ?qOVISlONS OF ANY OTHER <br />STATc OF LOCAL U W FEGULATING CONSTRUCTION OR THe PEFFOFAIANCE OF C,ONSTRUCTION. THAT I AM AUTHOFI2ED BY THE <br />OWNER OF TH/S PROPERTY TO PERFORh! THE WOFK FOR WHICH APPL.'CAT/ON IS MAOE AND 1 COMPLY WITH THE Sri1TE <br />CONTRACTORS LA6V 78.27 FCW AND 296.200 WAC. <br />Signature <br />ELECAP�REV 812001) <br />/U —3 � <br />Date <br />FEE <br />c'_—D� /0 '/l�3 <br />