Laserfiche WebLink
ELECT .ICAL PERMIT aPF��ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CE�AR STREET, EVERETT, `,NA 98201 <br />425-257-8810 - FAX 425-257-,9857 <br />� /� ,p � <br />G� �.' � � 1CCf, �'� ��C"v'C _ /T V <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />f- <br />,-,r' �17Z6' <br />� Mail Adtlress <br />C %'�� ,�,,. �-- ---- - <br />1 � f,'n -' <br />Contractor <br />Maii Address <br />Mail Address <br />State License Number <br />,� �n T�� /Yl7..c_ �_. <br />Proposed Use of Building <br />Description of Work to Be Done: <br />%Z' �, `�' <br />SfS� /SG�%�e(/ <br />City <br />Ciry <br />Ciry <br />�r,�.�C(,�--;; <br />;�.� ��%�2 <br />State2lp <br />S!ate,Zip <br />State2ip <br />Contracl Pnce of Work <br />Contact Person (Plan Review) <br />yzs <br />yrl'I >'9�� <br />Phone <br />Phone <br />Phone <br />,t'/C� !�� C •�4- <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 FACILBITI S AND ALL HOEALTH CARE FACILITI SI PLANS WSLL BE REV EWED BY THIS OFFI OTHER <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 />OF SI NCHESSABOVE THE FLOOR. WAC 51A-20 SEC. 3106(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND"OTHER CONTRO� RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGESI OF WAC SE 20 S C SN06(b 4CE & FI AND OTTLES�S THAN 36LINCHE5 ABO EUTHE �LOOR �N THE REACH <br />1 HEREBY CERTIFY THAT 1 HAVE FEAO AND EXAMINED rH/5 APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORFECT. ALL <br />PFOVISIONS OF LA WS AND ORDINANCES GOVEANING THIS TYPC O` WOFK WILL BE COMPLETED WHETHER SPEClFIED HEREIN OR <br />NOT, THE GFANTING OF A PEnM111T DOES NOT PRESUME TO GIVE r1 UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />OWNER OF�TH�IS PROPERTY TO PERFORMUTHE�WORKrFOREWH�CH APPLICATONN�SRMADE AND ACOMPLYUWI�H'THE STATE <br />CONTRACTOFS L;7W 18.27 RCW AND 296200 WAC. <br />/ <br />: i �i <br />// �f�tC� <br />� Signa�ure <br />ELECAP�FiEV 812001 � <br />Ev�aq-oa� <br />FEE <br />