|
- 'JJi1�
<br /> . .::4�.:'� . .
<br /> ,��{.��'�.S .
<br /> r �y4
<br /> ' A1 PLICr1TI0i�I FOR �I,�CTI2ICAL PERAIII'
<br />���- -
<br /> F' 4 CITY OF EVERLTT
<br />�r�rV„-;..,
<br /> pr�'' r` tiUILD1NG DNISION
<br />� ! 3200 CEDAR 57REET
<br />�� ' EVERETT, WA93201
<br /> 259-8870
<br />��`�: � E,�e�e-+�t Wi� `l�Zo Y ,55 -s >> > .
<br /> a< �a �t � �c w�e,�tc-,� �l zo� l-4�Ily P��
<br />� ' O�M�er Mail Address City Slale/Z�p Phone �?? :
<br /> d � , p .
<br /> S�m E p�7
<br /> Tcnant Mail Address City State/Zip Phone `
<br /> (SS�"-S�b'� �, a
<br /> j;'; � R�}C� (=l-�cl l3`iZy lllcelr�y 20 qr�ivKiai WG �2�2Z3 C 2hc�-'�b�t= L y ,:�'�;
<br /> �
<br /> Electrical Contnctor Mail Address City State/Zip I'hone State LicenseNo. 4 +
<br /> (� (�D�c�Z, 5�sa��� ' �
<br /> Contrac[Price of Work Proposed Uso of 13uilJing ���a`?,;�
<br /> � �Z� �'�d���� y„�/' _ �"'.'."°.a;`�
<br /> ,� W�
<br />�� Project Address �
<br />, , , ,ui n
<br /> Desc:iption of Work to Be Done: 1�-Q A��i @1L 0� � C Of ��: I � ���
<br />�`' �n�_h u 3 e dl c,.� `h.� olr,� �-,-� z� b.,
<br /> ,
<br /> �ruc.k I�h i'i�,-, �, 6'� � w � ��S �-
<br />'s;,� ;.; ��,
<br /> _rv. ' .�
<br />� :. ; -- -- =-V
<br /> NOTE: WAC 296-46-140 REQUIRFS THAT PI_ANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL �;,
<br />, �� OR HEALTH CARE FACILITIES BE APPP,OVED BY THE STATE OF WASHINGTON. APPLICANTS WI"fH SUCH �
<br />.��ff,'�� ,< _IOE3S MUST SHOW THE STATE APPROVED PLANS 6EFORE CITY OF EVERET PERMIT WILL BE ISSUED.
<br />��"� �,__'
<br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN PdETALLIC RACEWAYS (MC AIJD AC, ARE CA6LES, �
<br />�`k' NOT RACEWAYS). �"
<br /> �x°;, �''"
<br /> �, HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS �
<br /> "� WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM s,,, -
<br /> OF 15 INCHES ABOVE THE FLOOR. �a -a,
<br /> t:.:;
<br /> ENVIRONMENTAL AND OT�iER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN
<br /> ACCESSIE3LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL EE MOUNTED WITHIN THE REACH
<br /> RANGES OF THE 1991 u.B.C. SEC. 3106(t�14 AND NOT LESS THAN 36 INCHES AI30VE l'HE rL00R.
<br /> I FIEREBY CERTIFY THAT I HAVE READ A�D EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUF
<br /> � AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL E3E
<br /> ':i COMPLETED WITH WHETHcR SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME
<br /> � TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LijW
<br /> REGULATING CONSTRUCTION OR THE FERFORMANC[ OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE
<br /> OWNER OF THIS PROPERTY TO PERFORM THE WORI< FOR WHICH APPLICATION IS MADE AND I COMPLY
<br /> WITH THE STA(E CONTR � TORS LAW 18.27 RCW AND 296.200 WAC.
<br /> �S� �
<br /> � M
<br /> �
<br />��
<br /> . Y / �� �L IY l F�e L . -��.i
<br />`»�,., / D,te
<br />,w�,,.. Sibnat
<br /> �
<br /> �'.�: � „ r,:'_;�:,:',
<br /> x A .,,�W" : cc `: „� ����..._ �,,•""�,,,'��w:
<br /> � � .�� . � s� tp � � '^��
<br />'i"�. `" -�r�' A*�iy��Y d� �� '' e ; ,"" �, -.,::..<^ ..."�"�.�.
<br /> e� �.='-'- ~-, "', ,�'�'°" �'�„'
<br /> � �:� f` 7i+• 91 s f "`°b ....y. ,��a�y��nt,.a�y,.,�.�+rr. s �yA1 p�" .�,^�+�"{' � .�y
<br />� . � ���e�r' uY'Ie.�.•..,e-Y pR'",r ..iu. '"r. �$ E . '8 rz+� .a�e�
<br /> �_ Y,.. .
<br />
|