Laserfiche WebLink
� ELECrt ��ICAL PERIVIIT AP'r-� LI�ATION <br /> CITY OF EVERETT PERMIT aERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 42i-257•8d10 - FAX 425-257-8857 <br /> I `I l �z <br /> �ak�° `� � e� <br /> FROJECT ADDRESIS J� 1 � , <br /> -.� �rr� L �.no�1 SiQ � h�lnK-/4•�� � 5�i��a 3� � <br /> Owner Mnil Address City Stale/Zip Phone <br /> Tonant h�aii Atldress Ciry State2ip Phoue <br /> 1"����L. "��Q��n'� 20706 �oc.,,��f L,J4� Ly„ti �%ti 9�oX �`�a5 �7b Sc�92 <br /> Eledrical Conimctor Mail Address Ciry S�ale2lp Phone <br /> 1.>�r'fcW � 2� fd `j — <br /> State Liconse Number Contrnct Pnce ol Work <br /> C'or�.�k'�v�5 <br /> Proposed Use of Building Contect Persan (Plan Review) <br /> 1 <br /> Description ol W ork to 8e Uone: C,G V'1^ L�,a h 3 � — � a 7 6 � <br /> < as { �a 583 -9� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STP,TE OF �'iASHINGTON. APPUCANTS WITH SUCH JOBS MUST SHqW THE STATE <br /> AFPROVED PLANS BEFORE CITY OF E'�ERETT PERMIT WILL BE ISSUED. WAC 296-46•1�J. ALL OTHER <br /> EDUCATIONAL FACILITI�S ANU ALL HEALi H CARE FACILITIES PLANS WILL BE REVIEWED 81' fHIS OFFIGE. <br /> NOTE: W IRING IN PJON-DW ELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSII3ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES UF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> GF 15 INCHES ABOVE THE FLCOR. WAC 51•20 SEC. 3106(c!2. <br /> ENVIRONMENTAL AN.) OTH�R CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 6E 20 SEC.�N 6(b)4 E & FI AND NOT EE S THAN 36LINCHES ABO E THE �LOOR,IN THE RE.ACH <br /> 1 HEREBY CERTIFY THAT i HAVE READ Ah'0 EXnni1NE0 TIi:S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LA WS AN� OROIPlANCES GbVERNWG THIS TYPE OF ;NORK WILL BE COMPLETED WHETNER SPECIFIED HEREIN OR <br /> NOT, THE GFANTING OF A PERMIT DOES NOT PRESUME TG GIVE AUTHORITY TO VIOLA'E OR CANCEL THE PAOVISi0N5 OF ANY'OTHER <br /> STATE OF LOCAL LALY REGULATING CONSiRUCTION OF THE PERFOHMrNCE OF CONSTFUCTION. THAT 1 AM AUTHOFIZED BY THE <br /> OWNER OF THIS PFOPEFTY 70 PEFFOFN THE WORK FOR WHICH APPUCATIO�J I5 MADE AND I COMPLY WITH THE STATE <br /> CCNiFACTORS LAW 1827 RCW AfJD 29E200�NAC. <br /> _ � � � 1� �'11 6 �' d .� FEE <br /> �� vfN��� i <br /> Signaluro Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED �o3v6 -i �q <br />