Laserfiche WebLink
APPLI+ipTION FO� ELL=CTRICA� F�,,RMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREE7 <br /> EVERETT,Wq 98201 <br /> �� 259-8810 <br /> 323� 5.,�,`T�, ,q v�.� IC r��.�� �u <br /> PROJECT ADDRESS <br /> �Ma n ik.�a 7�e1' QD.B� Fs3o� kr a sco� �� �-i8�3 <br /> OwOef Mail Addmas City Stete2p Phone <br /> Y —� ��JTc�.^�tTin�J �2'`� <br /> 3?'3a SM;�-r, ave Eder�i�A !`'8'd9Z ��,-ais� <br /> Tenant Meii Addrese Ci Stete2p Phone <br /> _._ L�i.foAT — Ccw Go✓raoT� (:�G) <br /> �d^ � � L�+ Ow/�'e✓� /�� bn XennlJvi`ittc{ Y50 �� 3 I <br /> EleCtnCal COntfaCtof Med Addross Ci.y Stete2p Phona <br /> ���, <br /> Sta[e Licerse Number Contract rice of Work <br /> �i! T o T CS Te r� Ti o rl S l D� <br /> Propused Use of Building <br /> i .� n <br /> Description ot Work to Be Done:_ � /�P Gt�/� /�dD 7 y /7 ,� � <br /> ,9SS'e.K ��,c�� <br /> � <br /> t <br /> NOTE: PLANS FOR ELECTRICAI. WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WP.SHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN AI:CESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 57-20 SEC. 3106(c�2. <br /> ENVIkONhIENTAL AND OTHER CONT90L RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIh <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 31�6(b�4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> l HEREBY CERTIFY THAT/HAVf RfAD AND IXAM/NED 7}IlS APPL/CAT/ON AND KNOW THE SAME TO BE TRUE AND COF'HfC7. ALL � <br /> PROV/SIONS OF LAWS AND ORD/NANCES GOVERN/NG THIS TYPf OF WORK W/LL Bf COMPLETED WHETHER SPfCIF/f�HEREIi`�OR NOT, <br /> THf GFANT/NG OFA PERM/T DOES NOT PRESUME TD GIVEAUTHOR/TY TO VIOLATE OR CANCEL THE PROV/SIONS OFANY OTHE,7 STATf <br /> OR LOCAL CAW R£GULATING CONSTRUCT/ON OR THE PfRF0RhL4NCE OF CONSTRUCT/ON. THAT l AM AUTHORIZED BY THE OWN:R OF <br /> THlS PROPERTY TO PfRFORM THE WORK FOR Wh":.�l APPL/CA7/ON/S MADEANO!COMPLY W/TH THE STATf CONTRACTORS LAW 18.27 <br /> RCW AND 296.200 WAC, <br /> 2 / ��� <br /> z`�' i% �y`� / ���� �/`'� FEE ,� ��J <br /> sipnature oata <br /> J �� �� {IICMPryp.951 <br />