Laserfiche WebLink
� . ELECZ r�ICAL PERM6�' APrLICATION � <br /> C"�TY OF EVERETT PERMIT SERVICES <br /> 3�00 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ) c� � � ��,� , �v 1 a _ '� —�`f <br /> � <br /> PROJECT ADDRESS � <br /> � � � � ;� <br /> Owner P�tail Address Ciry State2ip Phone <br /> � �G�1—"`-7 <br /> TenaN Mail Atldress Ciry State2�p Phone <br /> �',q`��"�e�tie T�vc 1'�d2 �a„�L2—l9:� t,�Yl� `7'h'27'L zdd i�'i� 6f3? <br /> Electrical Contraclor Mai AI tldres� City State2ip � <br /> (�Q�, Q20,�V1�1 �GIJ� , <br /> Siale License Number Contract Price ot Work <br /> C�'.r���- TS�M �..�6 Slv4.�-�u+-���4-�) y� C�S�n-� <br /> Proposed Use ot Buil�ng r� � Contact Person (Plan Revie�:�) <br /> Descrip�ion ot Work to Be Done: ��� ' • ' �'i �_n,!}��2, ` � �A� <br /> -�� � �h.r�l� -+'�- <br /> iJOT[: PLANS FOR ELECTRI�.`! 'NORK AT EDUCATIONAL, FACILITIES UTILIZING STHTE FUNDS MUST 8E <br /> AFPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERP�IIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> FDUCAiIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: 1^JIRING IN NON-GWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABL�. <br /> �' HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIUNS SYSTEM RECEPTACLES ON NJALLS <br /> !NITHIN ACCESSIBLE SPACES OR ALONG ACCESSI�LE ROUTES OF TRAVEL SHALL BE MOUNTED A PAINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> cNVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> iRANGESIOF W FC 5E 20 S C�3N 6(b GCE & FI ANU OTTL S3 THAN 36LINCHES ABO E THE F�i ppp IN THE REACH <br /> I HEREBY CERTIFY THA'i 1 HAVE r7EAD AND EXAM1IINED THIS APPLICATION AND KNOW 7HE SAME r0 BE 7AUE AND CORfiECT. .SLL <br /> PROVISIONS OF L:1WS AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL 8E COMPLETED WHETHEA SPEGFlED HEREIN CR <br /> NOT, THE GAANTING OF A PERMIT DOES NOT PFcSUME TO GIVE AUTHOAITY TO VIGLr1TE OR CANCEL THE PROVISIONS OF ANY OTHEF <br /> SrATE OFl LOCAL LAW RE6ULATING CONSTFUCTION GR THE PEflFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 9Y THE <br /> OV'VNER OF TH75 PROPEATY TO PERFORM THE �NORK FOR WHICH APPUCA710N IS M11AOE AND 1 GOM1IPLY WITH THE 57ATr <br /> COfJTR.4CTORS LAW 78.27 flCW AND 296.200 WAC. <br /> � � b FEE <br /> SignaWre , Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTEO ,E D yG? -i' 7�^ <br /> _ . - ,- ,,, <br /> „• �r �,� <br /> jd:,,; <br /> ^,: <br />