Laserfiche WebLink
ELEC`� RICAL PERMIT AF�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� � I �— �f� �� <br />Owner <br />Mail Address <br />Mail Address <br />I Nz3G�uJr <br />Mail Address <br />�o(-(Sr I xz��c�� Sti�-� <br />State License Number <br />Proposed Use of Building <br />Description of Work to Ba Done: � 1l C Y Z <br />Ciry <br />City <br />� <br />Stete2ip <br />StetalZip <br />� SCn �//C i <br />Phone <br />Phone <br />Gi/ti � � ! L sl <br />City State/Z�p Phone <br />Zo� 3G3eG 9 f� <br />�Contra t Price ot Work <br />i / � o p :�- <br />Contact Person (Plan Review) <br />/GU/� Sc✓.• �� z°U' <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTGN. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />EDUCOA IONA FACIUTI S AND ALL H�EALTH CARE FACILITI SI PLANS WSLLE E R V EW ED BY THIS OFFICE. HER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />O 15I NCHES ADOVE THE FLOOR. WAC 51A-20 SEC 3 706(�2TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CCNTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGESI OF WAC SE 20 SEC.�3N06(b)4CE & FI AND OT L SS THAN 36LINCHES ABOVE THE F� OOR �N THE REACH <br />NOT, T <br />STATE <br />Signature <br />THAT <br />T <br />VE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />4DINANCES CaOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />MIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />ATING CONSTRUCTION OR THE PERFCRMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />TO PERFORM THE WOFK FOA WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />✓,AND296.200 WAC. � <br />/ � Q r � O � FEE <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED E� j�(� 'b �U <br />