Laserfiche WebLink
APPLICA fION FOR ELECTRICa� PERMIT <br />CITY OF EVERETf <br />BUILDING DIVISION <br />3200 CEDAR 5lREfT <br />EVERETi, WA 98201 <br />PHONE: (425)257-8810 <br />FAX: (425)257-8857 <br />��i A1 1'�i� � C i I � _ <br />PROJECT ADDRESS <br />i�,.....,_n F1�.�C,� !�i �� V1'1� G� I I � <br />Owner <br />Mail Address <br />N��,,� Cu�se��c i�� �ti <br />City <br />Tenanl Mail Address City <br />L'5312.t/i_ �yp�n i�l <br />�.it`�ln'�� Y�,�t�'�A I �on�irc�ciovs�� nc L7tnv <br />Electricai Contractor Mail Adaress ���Y <br />LU2o��yb6 <br />State License Number <br />�iin��� Tli����`��1 �AiPII�f 1 <br />Propose se of Building " <br />Descriplion of Work to Be Done: L �PC'� �' «' LOU �h -.,� 11 — <br />�- `�' Rzc� � <br />State2ip <br />State/Zip <br />� ti N� q; <br />State2ip <br />� Z�U� <br />Contract Price of Work <br />-i <br />Phone <br />Phone <br />q� 42s-��iyfs2s <br />Phone <br />e ��,�oi S <br />Contact Per (Plan Review) <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 FACILBITIES AND ALL �HEALTH CARE FACILITI S' PLANS IWSLL BL RE EWED BY THIS OFFI OTHER <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />O 1b NCHESSABOVE THE FLOOR. WAC 51A-20 SEC 3106(O�TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIfiONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />RANGES'OF WAC SE 20 S C�3N 6 b 4CE & FI AND NOT LES�S THAN 36LINCHES ABO EUTHE �F OOR �N THE REACH <br />1 HEFEBY CEFTIF"Y 7HAT I HAVE FEAD AND EXAM14INED TNIS APPLICATION AND KNOW THE SAME TO BE TFUE AND COFRECL ALL <br />PFOVISfONS OF L7WS AND ORDINANCES GOVEFNING THIS TYPE OF WOFK WILL BE COMPLETED WHETNER SPECIFIEO HEREIN OR <br />NOT, 7HE GFANTING OFA PEFM1IIT DOES NOT PFESUM11E TO GIVE AUTHOFITY TO VIOL4TE OR CANCEL THE PFOVISfONS OF ANY OTHER <br />STATE OF LOCAL LA6V REGUL.IT/NG CONSTFUCTION OR THE PERFOFAIANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THlS PROPERTY TO PEFFOFM1f THE WOFK FOF WHICH APPLICATION IS MADE AND I COMPLY WITN THE STATE <br />CONTFAC70FS GI W 18.27 FCW AND 296200 WAC. <br />oate �p �OZD�oO <br />ELECAP(REV 898i <br />FEE �' S�. v � <br />