Laserfiche WebLink
�, ELEf TRICAL PEIRMiT A �`PLiCATION � <br /> �n�` CITY Cr EVERETT PERMIT SEP'viCES <br /> �j�� 3�00 CEDAR STREET, EVE,�ETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> - - <br /> ��a3-o5 <br /> �-��II :�, �,� ,�, � � ,. �t 1� �� � - T_�,�, . ; ,�' <br /> PROJECT ADDRESS <br /> Owner t.1.�.',Address Ciry State:Zip Phone <br /> Tenant hlall address C�;y State2ip Phone <br /> i ' ' <br /> L"�' � r���l` � ��: �r ��lli_ J �1�i . ,��.���4;-�:�%`l,�hl 'IiVc. C�.���i.U�ll=' ��,���i�.TJ�- ���-%'G(I� .`f���InQ <br /> Electncal Contractor � fda�l Address City State2ip Phone + <br /> / r, ,r <br /> � . ���.i�,l: '=[-. �i� �i�1 ' N �r <br /> State License Number ` .� Contracl Price of Work , <br /> ,`�i �� �:'l;, �cl,,� ��. �1 1 � :� <br /> Proposed Use ol�uilding ; I Contact Person (Plan Raview) <br /> Descrip6on of Work to Be Do�.. <br /> !��. i � (1AA�� J � ��i ��> f�`I ; i '-�1 <br /> 1 ' � <br /> NCTE: PLANS FOR ELECTRICAL WORK AT EDUCATIO�AL, FACILITIES UTILIZING STATE FUNDS �,4UST BE <br /> APF'ROVED BY THE STP.TE OF WASHINGT�N. APPLICANTS WITH SUCH .IOBS PAUST SHOW THE STATE <br /> APF'ROVED PLANS BE�ORE CITY OF EVERETT PER�'IT WI�L BE I�SUED. WAC 296-a6-140. ALL OTHER <br /> ECJCATIONAL FACILITIES AND ALL HEALTH CARE F4CIL'TIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBIUTY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACL�S ON WALLS <br /> WITHIIv' 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 /> ` ENVIRON�v1ENTAL r,ND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG 4CCESSIBLE ROU�i ES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> RANC_ES OF WAC 51-20 SEC. 3706(h)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFEBY CEF7IFY THAT I NAVE FEAD AND EXrSNWED i HIS AFPL(Cd�ICM1'AND KNOW THE SAM1it TO 6E i FUE.AND COFFECT. ALL <br /> YFOVISlONS OF LIWS AND CFDINANCES GOVEFNING 7HIS TYP: CF WOFK LVILL BE COh1PLETED V✓HEiHEA SPECIFIED HEFEIN OR <br /> NO7'. THE GAAN7ING OF A FE.9M1fIT COES NO'FFFSURIE TO GIVf AU7HCFITY TO VIOL.:1 i E OF CANCEL THE PFOVISIONS OFANY 07tiEn <br /> S iATE OR LCCAL Li W FEuUL7rlh'G CONSTFLCTICN CF 7!iE ?E.4FOFhfANCE CF CONSTFUCTION. 7HAT!Ah1 AUTHCFIZED EY i HE <br /> CLtSVEF OF iHIS PFOPEFr!' TO PEFFCFhf �HE IYCFK FCn ll'HICH APFLICAi�ON IS MADE AND 1 CC�tiFLY WITH TNE S�ATE <br /> CCNiRACTJFS L7W 78.9 FCW AND 296.200 tLa�. <br /> � � ' ` 1 ; FEE <br /> • i�,t� � 1":—��=� _'_' _�J���� G'__; <br /> __ , <br /> Sign2ture ' DaIA <br /> eLEC,:PI�s:'s�:_,,� `�U�d �,.- '�U <br /> I-' <br />