Laserfiche WebLink
ELEC I�A� PERMIT AP ICATION <br /> CITY OF EVERETT PERMIT SERVICES 3 �y�og <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857 L 0�02 /y� <br /> ZFs.� !-1-�w1�f L�u� <br /> PROJECT ADDRESS <br /> G�-r.� er �'RF'f� <br /> Owner Mail Adtlress City Stete2ip Phone <br /> C.O�WS l �l� �� — <br /> Tenant Mall Adtlress City Stete2ip Phone <br /> -�J 6� P�'� I Z�s q-�M A-ll� 4 , S� �C 1�� ci �o I �� <br /> Electrical Contractor Mail Address Cay State2ip Phone <br /> �('�g�A� �" IIc�NH �°� � � <br /> State License Number Contracl Price of Work <br /> �V�N T G"((� <br /> Proposed Use of B�ilding Contact Person (Plan Review) <br /> Description oi Work to Be Done: � N )�li`�►/V �� �u/�`Z �N A T� 1/" � — <br /> S'lC.-�� S <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 /> EDUCAT ONA FACILBIT ES AND ALL�HEALTH CARE FACILITI SI PLANS WSLL BE R VAEWED BY THIS OFFI ETHER <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 15'NCHES ABIOVE THE FLOOR.AWAC 5120 SEC 3 jpg(02TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> RANGE3 OF WAC SE 20 SEC.�3N06 b)4CE & F'AND NOT E S8 THAN 36 INCHES ABO EUTHE�F OOR IN THE REACH <br /> I HEAEBY CERT/FV THAT I hAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROV/SIONS OF LAWS AND ORDINANCE5 GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFfED HEREIN CR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br /> STATE OR LOCAL LA W AEGULATLVG CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE LNORK FOF WHICH APPLICATION IS MADE AND 1 COMPLY WlTH TNE STATE <br /> CONTRACTORS LAW 78.D RCl'J AND 296.200 WAC. ' <br /> l Z. �( � p� FEE <br /> Signature Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED ��� _ � �G <br />