Laserfiche WebLink
, <br /> APPLICATION FOR ELECTRICAL PERMIT � <br /> � <br /> CITY OF EVEREff <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETf, WA 98201 <br /> PHONE:(425)257-8810 <br /> F,q)(; (425)257-8857 <br /> j �JZ �U2oH�7G✓^7 (/' �iQw`1I�U✓ A— .��ZD/ <br /> PROJECT ADDRESS <br /> Owner <br /> Mail Address City State2ip Phone <br /> �L�c��s� �4.�z t�� •�„�y -r-c�'r �,v�- �i�� o � — <br /> Tenanl Mail Address City <br /> Stete(Lip Phone <br /> i,��-, L ,ti,C 3�33 /��� � /�• .f�*r/�� �,,�at �Fi�y ZO�r YY3-Rc10 <br /> ���� City Slete2ip Phone <br /> Eleclrical Conlraclor Matl Add�ess <br /> C�uR �� d KZ � (' Contracl Price of Work <br /> State License Number <br /> U��LU �CY!/Tl�'�-- �-2� �C��i�L� _ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> � <br /> Description of Work lo Be Done: �" � v m L 7��" S'�'G��� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONAL FACILBITIE�AND ALL�HEALTH C E FACILIITI SI PLANS WSLLE E REV EWED BY THIS OFFI OTHER <br /> NOTE: W�RING IN NON•DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM HECEPTACLES ON WALLS <br /> OF 5�WCHESSABOVE THE FLOOR.AWAC 5120 SEC 3106(�2 TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�N 6(b)4CE& F� AND NOT LES�S THAN 36LINCHES ABOV�EUTHE�F OOR.IN THE REACH <br /> I NEREBY CERTIFY THAT I HAVE READ AND EXAMINED THlS APPLICATION AND KN04V TNE SAME TO BE TAUE AND COFRECT. ALL <br /> PFOV1510NS OF LA WS AND ORDINANCES GOVEFNlNG THIS TYPE OF WOFK bVILL BE COMPLETED WNEThIER SPECIFIED HEREIN OR <br /> NOT, THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VfOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> OWNER OFCTH�S PROPERTY TO PERFOAMUTHE�WORKT FOR WH�CH APF�1�TIONN�SFh1ADE AN�HACOMPLYUW1�H1zTHEe57ATE <br /> CONTRACTOAS LA tN 18.27 RCW AND 296.200 WAC. ��� <br /> %,b3 <br /> � � `� FEE <br /> /f �/� ' 3 , � <br /> Signature Date _ <br />� FI c/`noion�000. � <br />