Laserfiche WebLink
APPLIG ' TION FOR ELECTRIC " L PERMIT <br /> ClTY OF EVERE7T <br /> BUILOING DlVISION <br /> 3200 CE7AR STREET <br /> EVERETT, WA 9820> <br /> (475)257-BB10 � ' <br /> ��. ,) ; . a. � C! � `—�', �__ <br /> 3���- �/'7/%/l�/7l��`. <br /> PROJECT ADDRESS <br /> /�3�"G ��O�E%� <br /> ii <br /> OWnef Ma:lAdCress City Stole2�p Phone <br /> ��`�- ��oGiS <br /> Tenant tdailAtltlress Ci,y State.Op Phone <br /> UNITE� ELE(iRl( (ONTRA(10RS, INf. ,f'..3b� SotrT,• �f '�i5��,e 6,ie�,e.ai�✓•9 ;�Yzo.� xss�svr <br /> ElectfiCal ContraCtof Mail Address City State�Zip Phane <br /> L/.t��i�Eci7C�`16 '�,Z 8 .toa — <br /> State License Number Contract Price ot',vork <br /> �-qi� �.�1�.f'c�is�' <br /> Proposed Use of 6uilding Contact Person (Plan Review) <br /> Desr.ription of Work to Be Done: � T /VEl,c.� �/4//%S �` '��+%GE7 S <br /> NC'rE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, PACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STA7E OF WnSHInG70N. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BErORE CITY OF EVERETT PERMIT WILL 8E 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 REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBIUTY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSI6LE ROUTES OF TF2AVEL SHALL BE MOUNTED A MINIMUh1 <br /> OF 15 INCHES ABOVE TiiE FLOOR. WAC 51-'?0 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OFER.48LE EDUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TR4VEL SHALL 6E MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THADJ 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERiIFY THAT 1 HAVE ftEAD AND EYAAIINED 7HIS APPGCATION AND KNOW iHE SAME r0 BE TRUE AND CORRECi. ALL <br /> PROVISIONS OF LA WS AND OROINANCES GOVEFkWG THIS i YPE OF WORK 157LL 9E COM1fPLEi EO WNE7HER SPEC7FfED,4EREIPI OR NOT, <br /> THE GRAIJi 1NG OF A PERM!'DOES NOT PFESUME i 0 GIVE AUTHORlrI'i 0 VIOL7 i E OP, CAA'CEL i Ht PROV/SlONS OF ANY OTHE.R SiA7E <br /> OR LOCAL LAW REGULATING CONSTftUC770N OR rl-fE?ERFORMANCE OF CONS i R'JCilON. THAi I AM AUTHORIZcD 8Y i HE O WNE.R OF <br /> 7NIS PROFE��'TO rcnFOR,N THE IVOFK FOR WIiICH AFFUCATfOh'!S MACE ANO I C0,51FLY L5'li H THE STATE CONi RACi ORS L4W 78.27 <br /> RCW AfJD?96200 WAC. /� <br /> � ���� - _'i � <br /> � / <br /> }i� ,2 7��, FEF s�/• J�� <br /> Signature Date <br /> a[�u�;q�me� <br />