Laserfiche WebLink
ELECT^ICAL PERMIT AP,-^LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> � y�o � 425-257-8810 - FAX 425-257-8857 <br /> `/`K�l .SI,Qw ,� �f ,'ue . <br /> PROJECT A�DRESS <br /> /�ul�'��ueSa�oo`S, �%.'1T/��'�porf l�d /11��'�f�o W/�J- �l1��'.�6'l.�/�a <br /> Owner Mail Address Ciry State/Zip Phona <br /> �iu�i.��'fc-.. �c��o �S .�/� /12 F /TS' /�llove- <br /> Tenant hlail AJtlress Ciry State2ip Pho�e <br /> H&M RlPrtri �� Tnc . R227 44rh Av W Si�iha G Mukil Pn�WA 9$275 425-423-9250 <br /> ElecMcal Contractor Mail Atldress Cfry StatefZip Phcre <br /> 601-461-695 / ,?�o� �� <br /> State License Number Contract Price of Work <br /> C) �'�,`ceS <br /> Praposed Use of Building Contact Person (Plan Review) <br /> � <br /> Description of Work to Be Done: _ ' y�ti�p •��p v,`c,2 �/' � r"+ �e>', <br /> � - <br /> NOTE: PLANS FOfi ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICA?JTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFGRE CITY OF EVEREI'T PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACIES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE.ROIiTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC.3106(c)2. <br /> ENVIFONMENTAL AN�`'OTHER CONTROL RECEPTACLES .4ND O?HER O�ERABLE EQUIPMENT WITHIN <br /> ACCES518LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVcL SHALL Bt MOUNTED WITHIN THF REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F ANU NOT LESS THAN 36 INCHES A60VE THE FLOOR. <br /> I NEr.E3Y C ni1FY iHAi I NAVE n'EAD AND EXAMINED THIS APPUCAilON AND KNOW 7}+.E SAME TO BE TFUE AND CORRECT. ALL <br /> PFOVISfONS JF L4LNS ANO OFOLVANCES GOVERNING THIS TYPE OF WOAK WILL BE COMPLETED WNETNEA SPECIFIED HEREIN OR <br /> NO i, TNE GRANTING OF A PE.RMIT COES NOT PRESUME TO G7VE AUTHCRITY TO VIOLATE OR CANCEL THE PAOVISlONS OF ANY OTH[R <br /> SiATc OR LOCAL L-0W FEGULITING CONSTRUCT/ON OR P-!E PEAFORMANCE OF CONSTRUCTION. THAT I AM AUTNOFIZED HYTFiE <br /> OWNER OF 7NIS PROPERTY TO PEnFOFM iliE WOAK FOF WNICH APFUCATlON JS MADE AND I COMPLY WITH TNE STATE <br /> CONTAACTOFS 41W 18.27 RCW AND 2?6.200 WAC. <br /> /( ,�!� c- �E-� y FEE <br /> '1 ..iL� <br /> Signature Date <br /> �0�o�-�3 <br /> E!EC.IP�REJ 8200f) <br />