Laserfiche WebLink
ELE <br />fRICAL PERMIT Ar�PLICATlO <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />a�o ��,�,�� ��� <br />Owner <br />Tenanl <br />r � i 5 � � c� � i�A-�N � r�%f�� <br />Mail Address <br />Mail Address <br />City <br />City <br />S�ata2ip <br />State2lp <br />N <br />y� sl <br />�5�� 2Sb3(�6o <br />Phone <br />Phone <br />Eleclricai Conlractof Mail Address City StetelLip Phene <br />State License Number Contract Price of Work <br />� Slc't��r —t <br />Proposed Use of 2uilding Conlact Person (Plan Review) I <br />�� � <br />Description ot Work lo Be Done: /(� iYJ D v C' !/ /� �✓ ���� K�� '/ / � r v �'� ���� �� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FU�JDS MUST BE <br />APPROVED PLANSEBEFO E� TY/OF E ER�ETT PERMTAWILL BEHSSUED.J�VACM 9646-H 0�.( ALEOTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN HACEWAYS, MC OR AC CABLE. <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 <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMEN7AL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RANGESI OF WAC 5E 20 SEC.�3N 6(b)4CE & FI AND OT L SS THAN 36LINCHES ABO EUTHE �LOOR IN THE REACH <br />1 HEFE6'.' -=�iTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />PFOVISIONS OF LA WS AND OROINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECl� <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION; <br />STATE OR LOCAL LAW AE6ULATING CONSTAUCTION OR THE PERFORM.4NCE OF CONSTRUCTION. THAT 1 AM AUTF <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY W <br />CONTRACTORS LAW 1927 RCW AND 296.200 LYAC. <br />��C/����jG�Lc��.�z,� FEE <br />(/ � <br />Signature <br />DEBIT 8 CREDIT CARDS ARf NOT ACCEPTED <br />oate <br />�d�3 - o�/ <br />STATE <br />