Laserfiche WebLink
ELEi.I riICAL PERMIT Ar�rLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX 425-257-8857 <br />�� Z ��� <br />PROJECT ADDRESS <br />� �tni�r r� 3� i z GP�4+vn ,� �,E�E rr ��4 9,� �o � <br />Owner Mail Address City State2ip Phona <br />N /} <br />Tenant Mail Address City StetelZip Phone - <br />�� <br />� nAIcES.4'vE - E�4`v-�YT r,u4 - � <br />Electrical Contractor Mail Address <br />f/�.S�cE `771 C - <br />State License Number <br />l�u�d� Fc�` y �i �x' <br />Proposed Use o Buiiding <br />Description of Work to Be Done: <br />Fn,P � A�bla <br />Ciry <br />�o,�r�P �'E�vicE <br />acA� �� � E� �s1-iivcr /O�y�' - ��E L <br />StetelZip <br />0 <br />���� <br />Contract Price of Work <br />5= <br />�on- �i,us <br />Contact Person (Plan Review) <br />Phone <br />,�j�v�vcH c%�cu�rs <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUC�ATIONAL FACIUTI S AND ALL HEALTH CARE FACILITI SI PLANS WSLL BE R VAEWED BY TFI�IS OFFI ETHER <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />OF 5I NCHES ABIOVE THECFLOOR.AW C 51A-20 SEC13106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EG'UIPMENT WITHIN <br />RANGE�I OF WAC 5E 20 SEC.�3N 6 b) CE & FI ANDRNOT LESS THAN 36 INCHES ABO EUTHE �F OOR IN THE REACH <br />1 HEREBY CERTIFY THAT I HAVE READ AND <br />PROVISIONS OF LA WS AND ORDINANCES Gi <br />NOT, THE GRANTING OF A PERMIT DOES NO7 <br />OWNEA OF�NAS PROPERTY TO PER�ORf <br />CONTRACTORS LAW 18.27 RCW AND 296.200 � <br />TION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />WORK WILL 9E COMPLETED WHETHER SPECIFIED HEFEIN OR <br />7RITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF <br />?FMAPPE'OATONNSSRMADE AND ICOMPLY WI�H'ZTHE STATE <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED E040 3• <br />� 3�1 <br />FEE <br />