Laserfiche WebLink
� MAY-�1-01 FRI 01�23 PM EV�TT PERMIT SERVICES FAX N0, 42�257 8857 P, 03 <br /> lAPPLICATION FOR �LECTRIC�►L. PERMIT <br /> CITY OF EVERETI <br /> BUILDING PIVISIUN <br /> 3200 CfDAR Si6'EEf <br /> EVERETf, WA 98201 <br /> pHONE:(425)25�-9810 <br /> FAX: (425)257-8857 <br /> ��,�' �ac:t.r.S INP�I SUIT� ll <br /> PROJECT ADDRESS <br /> Owner <br /> Mail AdAre.s Ciry S�ate2lp Phone <br /> -�UI�tC, ,5'N�,C'�1 ,��15 lb��a �,1C�.°b�� WA� � E��T�`�'�`P <br /> Tenznl <br /> Msd Atlaress Ciry Smte2ip Phone <br /> �� S��s�a�1c�. 3005 MAtWt N Rb DI.Yt�LP« I,�FY �I� 360• 459. 3aut� <br /> EleCirioal CoNraClor Maii Addre.s <br /> City Statc2iP Phono <br /> ��V�`� �S�p3 Conlracl Pricc of W ork <br /> Slate Licensc Number <br /> ��r (�.oBtsptJ <br /> Proposed Use of Building CoNact Person (Plan Review) <br /> ,,� st6r..) 4'-a" � !o '�'� - a <br /> 0¢:cription ot Work to k3o Dono: ____ f�G lu�µ�N�D W� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIOVAL, FAC�LITIES UTILI' � STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH �..dS MUS7 SHOW THE STATE <br /> EDUCATIONAL FACIL�ITI S AND ALL HEAL7H CARE FACILITIESI PIANS IWILL BE REV EWED BY THIS OFFI O7HER <br /> NOTE: W IHiNG IN NON-DW ELLINGS�S REQUIRED 70 BE IN RACEWAYS,MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL ANO COMMUNI��ATIONS SYS�EM RECEPTACLES ON WALLS <br /> OF 15 NCHES A�OVE THE FLOOR.AWAC 5120 SEC. 3106(�p7ES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ACGES3NBLE SP�CF.S OR A ONG A�CESSIBLE OUTES OF TRA E STHALL BEPMOUNTED W TIH NETHE REACN <br /> RANGES OF WAC 51•20 SEC.3106(b)h E &F AND n0T LESS THAN 3G INCHES ABOVE i HE FLOOR. <br /> 1 fi[FEDY GEFTIFY TI tAT 1 FIAVC 7EAD AND EXAMINED THIS APPtIL'APON AND KNOW THE SAME TO 8E 7RUE ANO CORFECT, ALL <br /> NO�T.yTHF GF�NT NG OF A PE MIT DOES NOT PAF'.SUME?O GIVfi AU�HORI�TY TO/V10L.ATE OFlPGANCE THE PROVISIONs'�OF ANY O HEF <br /> OWNER OF�HIS PHOYE TYA1'O PERFOAMUTHTE WOFK�FOl7EWH�GH APPLICATI�ONSSRMADE AND I GOMPLY WI�H THE SYAYE <br /> C.ONTFAC70RS LAW 1 B.T.7 pC W AND 2DG.200 WAC. <br /> FEE <br /> Siqn�lure Dato /1���L} (/ , <br /> ELECAP�flFV 8�J9� ,' v/�� <br /> v <br />