Laserfiche WebLink
ELECT`� .iCAL PERMIT APF �lCA1'ION <br /> CITY OF EVEREYT PERMIT SERVICES <br /> � 3200 CcDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � ��o !�k cl y ��, « � — <br /> PROJECT ADDRESS <br /> �� i-� c � v+� ��eu � lobeuw � ICY�O >�.���t'o'��I�� 11' � (�N �C 'Cr" �� U���1 `�Ig��C�� <br /> Owner <br /> Mail Addres�J Ciry State2ip Phone <br /> Tenant <br /> Mail Address Ciry State2ip Phono <br /> �v f a � � o �r � �� ( I�J u� � �I r.�.��.= � L� �a ��zal �,,��2�G� ( <br /> Elecl al Contractor <br /> Mail Address Ciry State2ip Phone <br /> 1=���4i,� ss ��2 � P <br /> Slate License Number Contract Pnce of Work <br /> `� ��� � �1 C� Contact Person (Plan Review) <br /> Proposed Use of Building <br /> Description of Work to Be Done: � 0 V F Y2� � � �l "''� � rcQ �� � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> qPPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUCATIONAL FACILBITIE�S AND ALL�EALTH CARE FACILITI SI PLANS WSLLE E R VAEWED BY THIS OFFI OTHER <br /> NOTE� WIHING IN NON-DWELLINGS IS RE�UIREU TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPEU ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF tb WCHESSABOVE THEC LOOH.AWAC 5120 SEC 3 106(�2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIFONMENTAL AND''OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.8N06(b)4CE & FI ANDR OUT L S�S THAN 36 INCHES ABOV�EUTHE�F OOR IN THE REACH <br /> I HEREBY CEATIFY THAT 1 HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISlONS OF U1VlS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT OOES NOi PRESUME"O GIVE AUTHOAITY TO VIOLA�E OR CANCEL THE PFOVISIONS OF ANY OTHEF <br /> OWNER OF�THAS PROPEA�TO PE'R�FCRMUTHE WORKTFOREWH�CH APPLICATO�NSSRM1fADE ANDHI COMPIYUWI�H'ZTHE STA7E <br /> CONTAAC70RS L7W 1827 RCW AND 296.200 WAC. <br /> � —� � j FEE `'3 �'-� <br /> �.G2LyL�: 2 ' - <br /> � SignaWre � Date <br /> �ELECAP�REV812001) � ���� � � �� <br />