Laserfiche WebLink
ELECTF�iCAL PERI��IT APF�_lCATION <br />CiTY OF EVERETT PERMIT SERVIt_ �S <br />_'00 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />L°5'�� <br />-���-va2%,�2�1 WA`� <br />PROJ�CT ADDRESS <br />a� � <br />Owner <br />Z <br />Mail Address <br />Ciry <br />�--o �'/b -t 5� <br />i L�P� �I BZ�� <br />State2ip Phona <br />(�1 �LT `( P�c 5 �T� /�%DR � S <br />Tenant Mail Address Ciry Slate2ip Phone <br />TJr'jc,l�(LT l'1 �`� 4 T`-` A��- S .S�"f1 � �/�i� ���$4 2�6223�122 <br />Electrical Conttactor Mail Address Ciry State2�p Phone <br />v Cx= f�-'DZ I l�) l-� 1,�� .� <br />State License Number Contract Price of Work <br />-� ��. S �� �� <br />Proposed Use of Building Contact Person (Plan Reviev+) <br />Description of Work to Be Done. �(J .S ��'l- � S���� �� ��� <br />i�i <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS Iv1UST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUCAT ONAL FACILIT E6 AND ALL �EALTH CARE FACILITI SIPLANS WSLLEBC- R V EWED BYTHIS OFFI OTHER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR .AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SY3TEM RECEPTACLES ON WALLS <br />OF 15I NCHES ABOVE THECFLOOR.AWA 51�-20 SEC 3 1pg(�2 TES OF TRAVEL SHALL BE MOUNTED A PAINIMUM <br />ENVIROIJMENTAL AND OTHER C7NTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />HANGESI OF WAC SE 20 ECLONOs�b)4CE & FI AND NOT E S3 THAN 36 INCHES ABOV�EUTHE �LOOR,IN THE REACH <br />I HEAEBY CcATIrY THAT 1 HAVE FEAD AND fXAI•'iNED THIS APPLIC.7TlON AND KNOW Ti�1E SAME TO BE TFUE AND COFRECT. ALL <br />PROVISIONS OF LAV✓S AND ORDIR'ANCES GOVER.'i'�'JG 7NIS TYPE OF WORK WILL BE COh4PLEiED WHETHER SPcCIFIED HEREIN OR <br />NOT, TN,E GRANTING OFA AEFh41T DOES N07� PFESUME TO GIVE AUTHORITY TO VIOL7TE OR CANCEL THE PROVISIONS OFANY OTHEF <br />STATc Gn LOCAL LAW REGULATING CONSTFUCTION OR iHE PEAFORA?ANCc OF GON�TAUCTION. TNA7/ AM AUTHOAIZeO 9Y THt <br />�'idf.'cn O� THIS FnOPER1Y TO PERFORM THE WORK FOR WHICH APPLICATION IS M1fADE AND 1 COMPLY WITH THc STATE <br />� p�'Tn�;CTORS LAW 78.27 RCW AND 296200 WA?. ' <br />l o• 27 <br />Date <br />P o � <br />FEE <br />ry iowi <br />DEBIT & CREDIT ARDS ARE NOT ACCEPTED �/�_ /S� <br />