Laserfiche WebLink
n• (��l/-� <br /> ELEC� RICAL PERMIT Aa�.'LICATION <br /> CITY OF EVERETT PE�MIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �D,.Z �%.o o�/w.. _ �/>�'�S� -s'/S � <br /> PROJECT AOURESS <br /> �� / i �C�i - n`F J�7� c%i�... ✓�O✓i .�3`7 ,E=✓P 'nfj (i/� `J .Y�dG C7bS�5 _ <br /> �ef Mflil Address City StatefZip Phone <br /> ��,� t <br /> Tenant � Mail Address City State2ip ��� Phona <br /> ,/'/��criv , ��/- fr�c I.-� f"O✓1 � Y`�/�/� /t 4/ff r'��JT �/iJ= C� /1 <br /> Electrical Contractor Mai�nddress Gry Siata2ip Fhone <br /> o- <br /> `�� V �'�' /_1C7 � 7�/� !!7 J�J _ <br /> Slete License Number � Contract Pnce of Work <br /> nt <br /> '��'�,� r � — — <br /> Proposed Use of Buildint� Contar,t Person (Plan Review) <br /> Descdptlon ot Work lo Be Done: //��l/ C'/✓'� fJ / i� /�"c r�fo r� G�r��, — <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 /> EDUCATIONA FACILBITI S AND ALL�EALTH CARE FACILITI SIPLANS WSLL BC REVI WED BY THIS QF ICE.HER <br /> NOTE: WIFING IN NON-DWELLINGS IS REQUIRED TQ BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. �WA(; 51-20 SEC, 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC SE 20 SE LONoB(b)4CE& F AND OTTL SS THA� 36LI CHES ABOV�EUTHE�LOOR.�N THE REACH <br /> I HEREBY CERTIFY THAT 1 HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COHFECT. ALL <br /> PROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS TYPF. OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEREIN OF <br /> NOT, THE GFANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AU i HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY CTHER <br /> STATE OR LOCAL l�7 W F7EGULA 17NG CONSTFUCTION OF THE PERFOAMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY TNE <br /> OWNER OF TH/S PROPEAN TO PERFOFM THE WOFK FOR WHICH APPLICATlON IS MADE AND 1 COMPLY WITH THE STATt <br /> CONTRACTORS L4W 78.27 RCW AND 296100 WAC. <br /> ���� �n� ��/D --Os � FEE �-��J'v � <br /> Slgneture Date <br /> ELEGAP(REV&2001) �jC/%'d-� S <br />