Laserfiche WebLink
ELEC�RICAL PEF�MIT At'�?LICATION <br />EVERETT <br />SEHVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />C s�rG ( I' � �r,- /,� f� /v:�' _ <br />PROJECT ADDRESS �O D / �6 7 <br />��%C �o✓r5'il�cT:c,n ��07� <br />Owner <br />�� <br />Tenant <br />�/r <br />Contractor <br />Mail Address <br />Mail Address <br />�/l/�t� : T Z'w C �/ 7 <br />Mail Addreas <br />�L%C��.1'o�OTI <br />State License Number <br />� —P w� cr✓'cY / �—P/`✓i f � <br />Proposed se of Suildi <br />Descriptian of Work lo Be Done: � Z' �� <br />�c�Va.�� w,4 9�G�y �i2�7�S�-S�4yl <br />City StatelLip Phone <br />Cily Slate2ip Phone <br />3�G <br />, ST �lrVe:.00�llNi� %�,17� �//9-937� <br />City S�ate2ip Phone <br />Contract Price of Work <br />Contact Person (Pian Review) <br />S�P �^ vI� C—P �f � " <br />APPROVED 8Y T�HE STATEROF WABHINGTONDUAPPLI�CANTS WITH ISUCH'JOBS MUSTT SHGW T EUSTATE <br />EDUC�AT ONA FP.CI L B ITIES AND ALL H�EALTH CARE FACILITIESI PLANS WSLLEBE REV E W E D B Y T H I S O F FI �THER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, �1C OR AC CABLE. <br />HAN'OICAPPED ACCESSIBILITY: ELECTFICAL AND COMMUNICATIONS SYSTEM REC�PTACLES ON WA�LS <br />OF 5I NCHESSABOVE THECF"LOOR.AWAC 5120 SEC13 1pg �pTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL P.ND OTHER CONTROL RECEPTACLES AND OTHER UPERABLE EdUIPME^!T WITHIN <br />RANGESI OF WAC 5E-20 S CLON 6 b 4CE & FI AND OT LES�S THAN 36LINCHES ABO EUTHE �F OOR IN THE REACH <br />PAOVISBOlJSEOF LA WSAAND OFDINANCES GO EA INGDTHIS TYPE OF WOFK WILLNBE COMFLE ED WHETHER SPEC�FIEDRHERGIN OR <br />NJT, THE GRANTING OF A PERMIT OOES NOT PRESUME TD GIVE AUTHOFITY TO l'IOLATE OR CANCEL THE PROVISIONS OF ANY GTHER <br />OWNER OF�HIS PROPEATI' TO PER�FORMUTHrE WORY FOREWNI�CFI�APPLI�ATONSSRMADErAND I COMPLY WITH THEBSTATE <br />.�.,niroerrrnRR IAW 18.27 RCW AND 256.200 WAC. <br />Signature <br />ELECAP�REV 82001 � <br />/��/ �� � FEE�� � <br />cv <br />Date <br />.E aad� -D8� � <br />