Laserfiche WebLink
.-�. <br />FROM�CITY OF EVERETT BL.�DPT T0� 2067896514 .aPR 13� 1995 B�50RM p777 P.03 <br />APPLICA'1'IO1�I TOR EL�C���'��� <br />III� <br />cirxoit�.vsRET-r JAt1 3� 1°Q7 L'� <br />� BUU.PINCi AIVISION <br />C�2o0 CliUAR S7"2T•El' .................................. <br />`�� rvr•.nFrr, wn 9620i �CITY OF EVERETT <br />Public Works Dept. £59-8810 <br />2 3 lo �Aia'�C� q�� <br />i�xo.t�cT �.nnz�r;ss <br />�; �L <br />Owner <br />Tennut <br />Rn�Jtr Y-LeoY�Y <br />�lwtrical Conanatoc <br />a�o <br />�� �3oa � <br />Contract i'rice of Wmk <br />Mai1 Address <br />Mail Audres< <br />ZZ3z N. <br />bisil Addresa <br />,.0 � er <br />Cvese tr y � <br />City State/Zip <br />-- - City <br />�' �� 5.�98�c <br />���y StetefZip <br />StatclZip <br />P6one <br />Phonc <br />ie�; b53�D <br />Phone Slatc LiccnxNo. <br />�eSi��,f�'(.� Q�D�CtC <br />ProFosr.cl LJse of Building <br />Descripliuu of work to Ba Poae: C�� �'J�' C �Z� ) OO <br />C�C !N �1��� <br />/ �✓ .`�.s-C. /�l. �j�� ,•! _.._ <br />/.��i��f �r-( �G�7S _a GLn�I� �___. <br />..."'_'_T V <br />� �r,.,'_._".,, � ._ .. . ....._ ._". _...:."_—� <br />NOTE: WAC 23(i-46•140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EOUCATIONAI, INS'I'1'fUTIONAL <br />OR til'AL7H CARF. FACILI'i'ItS BE APPRUVED bY l'H[ STATE OF WASHINGTON. l�PPLICANTS WITI1 .SUCH <br />JOBS MUS7 SHOW THE 5TA7E APPROVED PLANS O�FOR[ CITY OF EVERET PERMIT W�LI BE ISSUEU. <br />NOT[: WIf11NG IN NON-DWELLINGS IS REQUIRBD TO BE IN METALLIC RACEWAYS (MC ANd AC. ARE CAli1..�5, <br />NO7 HACEWAYSI. <br />IIANOICAPPL-D ACCESSIE3ILITY: <br />WITHIN ACCESSIBLE SPACES OR <br />OP 15 INCHES AHOVE 71IE FLOOR <br />ELECTRICAL ANi! COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />ALONfi ACCESSIDL@ ROUTES OF TRAVEL IALL 6E MOUN'TEU A MINIMUM <br />, WAC 51-20 5L•C. 310G�c12 <br />L•NVIRONMENTAL AND �THEA CON7ROL RECEPTACLES AND O7H�R JPERADLE [�Ulf'MEN1' WIThIIN <br />f1ANGFS OF WAC 5E1 • 0 SECo3 OG(b14EE&F ANO NOT L SS THANE36 INCHES A OVE THE FLOOR. THF. REACH <br />I f IERE[iY CCIt'I lFY THAT I I tAVC• (lEAl7 AND EXAMIN[U THIS APPLICATION AND KNOW 71•IE SAMF. TO DC TRUE <br />AND C:C)RkECT. /�LL PROVISIONS OF LAWS AND ORDINANCF.S GOVERNING THIS TYPE OF WOftK WIIL BE <br />COMPLEl'EU Wllli WHETHF.R $PECIFIED HEREIN OR NUl'. 'fHE GRANTING OF A PERMIT DOES NU'f PRES�y1E <br />1'0 GIVF, AU7HORITY TO VIOLATF OR CnNC;:L THE PROVISIONS OF ANY 07HER STAI'E OR LUCAI. LAW <br />REGUL�TING CONS7RUCTlON OR 7HE PF.RFORMANCE OF CONSTFiUCTION. THAT I AM AUTFIOIiIZCD CSY TfIE <br />OWNfR OF THI5 PROPERTY TO PFRFORM THL• WORIC FOR WHICH APPLICA710N IS MAUC AND I COMf'LY <br />Wll'I I'111E S'I'n'I E CONTRACTOHS LA�V 18.27 RC:W ANU 296.200 WAC� <br />�'`- X __ /��/"�,v'"s+ ! 1 � _.... <br />i <br />Signatwe <br />_ � - 3 � - `� �___ <br />�a�� <br />� �1/ n <br />'�J�-7 p� <br />Fee, /�... — <br />.b� ..��, n°,:,i <br />