Laserfiche WebLink
ELECT�ICAL PERMIT AP�'_ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-$857 <br /> 3�z.� ,1�,�.o��,�y — <br /> PROJECT ADDRESS � ,�/ � � �I yl,f <br /> �if}�TuT ilo� ��Yi 4,q�/� 02 �/7�"EF��se,c y✓r FdEwfr lJ�l 98�/ 2ic -22io <br /> Owner, h:ail Address , City State2ip Phone <br /> � �� <br /> (.L/!Mt/ �JGiy� <br /> Tenanl � Mail Address City dlate2ip Phone <br /> / �lj <br /> Cf�tliiea Ev«;��iG .��oi ,.�. 2=`�i�✓e �f,,,r.— 4J.9 �� srs-^ i <br /> EleCtnCal CoNraCtor Meil Address City Slale2ip PhonA <br /> �',�� �oo_ <br /> G�.d�-.EFci7an r - - <br /> State License Number Con— tradTPrice af Work <br /> �FTA/< <br /> Proposed Use of�uilding Contact Person (Plan Review) <br /> Description of Work lo Be Done: /vFC✓ �/�A/< v�-�e� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MU5T BE <br /> APPROVED BY THE STATE OF VJASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUC�ATIONA FACILBITIES AND ALL�EP.LTH CARE FACILITI SI PIANS WSLL BE REVAEWED BY THIS OFFI OTHER <br /> NOTE: WIRING IN NON•DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTFICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OFT SI WCHESSABOVE THE FLOOR.AWAC 5120 SEC 3 106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 SEC.�N 6 b)Ct& FI AND OUT L S6 THAN ?6LINCHES ABOV�EUTHE �LOOR�N THE REACH <br /> i HEFE6Y CERTIFY TNAT 1 HAVE FEAD AND EXAMINED THIS APFLICATION AND KNOW THE SAME TO B� TRUE AND CORRECT. ALL <br /> PFOVISfGNS OF LAWS AiJD ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETEO WHETHER SPECIFIED HEFEIN OF <br /> NOT, THE GFANTING OF A PERMIT DOES NOT PpESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL THE PflOVISIONS OF ANY OTHEF <br /> STATE OF IOCAL LAW FEGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT f AM AUTHOFIZED BY THE <br /> C�ONTRACTO S'LAW�8.27FCWAND 96.200rWAC.E WOAK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> �. FEE <br /> Signature <br /> � ete <br /> ELECAP�REV 92�01) �pt�('j8-�/ <br />