Laserfiche WebLink
ELEC i .�ICAL PERMIT AP� -LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />,�1iG t/�►��1T �,� �����1 �J«-. 9�z�i <br />PROJECT ADDRESS � �f � <br />N �� 1 �?l.'!/�' <br />� <br />�,(�,R,(/� �^• J�CO �i <br />9.Z.S",�i�•��s 7 <br />V V/I - - <br />Owner tdail Address Ciry <br />State2ip Phone <br />�2.�n e <br />Cit State2ip Phone <br />Tenant Mail Addrnss Y .. <br />�fP ���r.�f/cr�/� /ii� •��o L� R`!'..li(Pr�, �✓�-�. !�l'�- 9�.L9� y.i5 �i?9 •l'r/i, <br />State/Zip Phone <br />Electncal Contractor Ma�l Adtlress �'�1' �� D�I�� <br />T���� �����v / Contract Price of W ork <br />State Licensc Number <br />�urr����,�e- ��.�eS <br />Proposed Use of Building <br />Descnplion ol Work to Be Done: N� <br />Contact Person (Plan Review) <br />tJOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED PLANSEBEFORE �C TYJOF E ER�ETT PERM TAWISL BIEHSSUED. J WACM 96 46-H OW ALE OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OF AC CABLE. <br />HAIJDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 5I NCHES ASBO E THE FLOOR.AWAC 5720 SEC 3 106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONtdENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />FANGE9 OF WAC 5E 20 SEC. SN 6(b �CE 8 FI A D NOT LES�S THAN 36LINCHES ABO EUTHE �LOOR IN THE REACH <br />i nEREBy CERn�=v 7Hai � r+rVE FEAD A�:D EXARi1NED TNIS APPUCATION AN <br />PFOVISIGNS OF L:1YS aND OFCUJANCES GOVEFNING THIS � 1'PE OF WORK l <br />NOL THE GFAN-ING OF A PEFhT1T DCES PIOr PFESUI.fE TO G1VE AUTHOFITY T <br />$7ATC- CA LvCAL l�7W FEGUL7TING CONSTFUCTICN OF 7HE PEFFOFRfANCE <br />OIL�IEF OF iH15 PFCPEFTY TO PEFFOFId iNE 1�CFK FOR WHICH APPLI <br />CG'J i nAC70FS L7W 7B2i RCW �D 2ao200 tVAC. <br />i <br />�j / <br />''/ � /.��� /.,7,��'/�-� <br />' Date <br />S,gnaWro <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />0 KNOW THE SAME TO BE TFUE AND COFRECL ALL <br />NILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />�OF CONS �FUCTIOCN.L THAT ��M A'�THORIZED BY�THE <br />CATION IS fAADE AND 1 LOMPLY WITH THE STA7E <br />FEE <br />�D12- I�"5� <br />