Laserfiche WebLink
�Q#�1�79y APPUC�( 'ION FOR ELECTRIC�� PERMIT <br />CITYOFEVERETT <br />BUILDING D/V/SION <br />3200 CEDAR STREET <br />EVERETT, WA 9B209 <br />(425J 257-8B>0 <br />S S''i..o L• � atxto Y� _ <br />PROJECT ADDRESS <br />Addrcss <br />Ciry <br />?8ib / 3y6-�Y�S•ri5 <br />Phone <br />vaco�vr <br />Tenant MailAddress • City State2ip Phone <br />�e.�i-..t✓��7 E! rraS�. .�::'�ndy� F��I'' '}-SS-/84}- <br />ElectricalContractor Mai�Addrecs Citi State2lp PM1u�� <br />� �/77�1.00 <br />State Litense Number Con!rect Price of `Nork <br />�_� <br />Propased Use of Building <br />Contact Person (Plan Review) <br />�- �. �'�=�.�"3�1/I�'L�1iY�l��'�sL��� i.�ui•�� �:+�:� <br />�. • <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 THF STATE <br />EDUC�AT ONALFACILBIT ESRAND ALL HEALTHRCARE FACMLITI SILPLANSI WILL BE EV EWED BY THIS OFFO EHCR <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MG OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS S`.'.. fEM RECEPTACLE3 ON WALLS <br />WITHIN ACCESSIBLE SPICES OR ALONG ACCESSIBLE ROUTES Or TRA�iEL SHALL BE MOUNTE.D A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CON�ROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGE3 OF WAC SE 20 SEC.�3N 6( )4 E&SF AND NOT LESS THAN 36 NCHES ABO�VE THE FL/OORN THE REACH <br />I HEREBY CERTIFY THAT 1 HAVE READ AND <br />PROVl�IONS OF LA WS AND ORDINANCES GO <br />WORK <br />Signalure <br />ELECM�IINlM) <br />70 <br />AND HNOW THE SA4fE 70 BE TRUE AND CORRECT. ALL <br />WILL 8E COMPLETED WHETHER SPEClFIED HEREIN OR NOT, <br />NSTRUCTION. THAT I AM <br />AND 1 COMPLY WITH THE <br />Date <br />�lo�� v�� <br />FEE <br />�WNER OF <br />LAW 18.27 <br />