Laserfiche WebLink
ELEC . RICAL PERMIT AI- �LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> .�i� l-� l�u.'� � /�-l�i= <br /> PROJECT ADDRESS <br /> '~ % l�l r'�- <br /> C ( 7 / C' �' /� G'��`i�i - 3�Gt) CL"/�/� �i �r/�z.Ce�/ `>5�.�%/ <br /> Owner Mail Adtlress City State2ip Phona <br /> Tenant Mail Address Ciry State2ip Phone <br /> �L�Q{C ' j�L/r/� l �IC' �D IgC�Y. ��-5 4�R �tti�� ' e rG j Gl�l� �D�.�.-!fyY� <br /> Electrical Contractor Mail Address City State2ip Phone <br /> F' �c � lC. � c ��.2 G� � "��S,G�?C� <br /> Slate Licen Number Contract Price of Work <br /> �C ( Tc' tt� cv �=u�2 . <br /> ��'�vt'F:�i,�-ri ,�= �'i�� �(J%E�.c' /Oc�l /ZU(�����2 r <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> Description of Work to Be Done: /�-/ J_ L��//L I �J C,� /¢�� � �rCJ�(/t�ri i i /"{'�� _ <br /> K t r c 11r� � �%�< r �'�K �� u � i'���i���z�---� i=DR �Ci .—c` �t �"�v <br /> /� [�'[ ( / � ' �ci �'��.� r' L_/ G (-f 7- � /-c�/� K � i C' Hr i�; <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTIL�ZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W17H SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERti11T 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 REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HAN" PPED ACCESSIBILIT�' EL.ECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> Wi" 1CCESSIBLE SPACES On .4LONG ACCESS�BLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> O� . �NCHES ABOVE THE FLOOR. WtiC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE Ei]UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEAEBY CERTIFY 7HAT I HAVE READ AND EXAM1IMED THIS APPLICATION ANO KNOW THE SAME TO 8E TRUE AND CORRECL ALL <br /> PFOVISIONS OF Li WS ANO ORDINANCES GOVeRNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OF <br /> NOT. THE GFANTING OF A PEFMIT DOES NOT PFESUA4E TO GIVE AUrHOFITV TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> 01NER�OF�TiIS PFOPEFTY�TO PER�OFMUTHrE IVOFKTFOREWH�CH APPEI�ATIONSSRMADE ANOHI COMPLY WI�H'ZTHEBSTATE <br /> CONTRACTOFS LAIN iB.27 RCW ANBZP6.200 INAC. <br /> i <br /> '_'��< 1''t �!"�T(` ����L� ✓� 7�CLC-�C�h FEE <br /> �� � n,� �S i i___,o�!,-�,;_ <br /> - � <br /> Signature Data <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED � ( <br /> ��;� - C�<_ ��' <br />