|
;����
<br /> ELEC . RlCAL PEl�N�IT AI- �LIC�4TION =F��;_;�
<br /> CITY OF EVERF_TT PERMIT SERVICES ����� �'`��
<br /> �`�;���}r;
<br /> 3200 CEDAR STREET, EVERETT, WA 98201 , ; .;�;�'.��
<br /> ,r' ';. , 425-257-8810 - FAX 425-257-8857 r+ ���`.?i
<br /> � � P) °r r.`.
<br /> i r ,: ' ' i;t r �,f',�
<br /> n
<br /> I ` � �� ' �Ik� �
<br />� �'�., ' �i ��T' S,�- � ;} ,,
<br /> PROJECI'AC�GRESS � �� tK
<br /> k -�'1Z'�b7i1 f r a�'�� � ' �;�
<br /> t4e_� �. ����� U..��. , � �
<br /> �---- � �
<br /> Owner M11ail Address City StatelLip Phcne �.t ;i�
<br />� �:l:Fn�
<br />�4. � I �
<br />�i! .
<br /> I ,x;
<br /> ���n:��
<br /> Tenant Mail Address Ci State2i .$hone � `��r ,y
<br /> y �Y 1 ' P 4�� S r�b`l 'lfY,�
<br /> ( J � ;KTI�I� Y (��(k'1C lO� �SC ZJ�� �TaERu-boD I�A�c+(ZtV`� ' ��•�¢2/333� f��E'� � `t�)
<br />���?,? Electrical Centraclor Mail Address City State/Zip Phone , �����+;
<br /> ;���.
<br />� �� �° r-�n �.�2��� ; ,, �,�- ,�4
<br /> State License Number Contracl Price of Work i, '�
<br />�;'i-v:.� . :',��.
<br />��� � � �I �(uGtLc�' ��1��� ,:K
<br /> � R�5 ,[ ;t';
<br /> Proposed Use ot Building Contact Person (Plan Review) �� ,i r,�' ;
<br /> � � ��,
<br />� C!1-��C�� �'�-� i►� 6��--s����c�=� (r z s �,��) , ���
<br /> Description of Work to Be Donc: 3 y�
<br />� �
<br /> . 1,;}��
<br />� , _ - �,�� P�.�`rtd- P�oa� �-�c'��c�� � cc�.cv'� �- � :���
<br />, : T ,, f t�n5c. G�^r�-�c'a" l<AtL�� ��F►,2t�5 �� 1�5P, �c��s �"-�'�47
<br />��k,j�ti., .
<br />� :" � NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIC�IAL, FACILITIES UTILIZING STATE FUNDS MUST BE
<br /> ' � APPROVED 3Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE
<br /> F` APPROVED PLANS BEFORE CITY 01= EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHEF
<br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE.
<br />�ii�, wi.: i , -�
<br /> NOTE: Vt IRING IN NON-�7WELLINGS IS REQUIRED TO BE IN RACEWAYS, MC�.R AC CABLE.
<br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICP.TIONS SY;i'.�EM RECEPTACLES ON WALLS
<br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE 610UNTED A MINIMUM ~-`-�,
<br /> OF 15 INCHES ABC'lE THE FLOOR. WAC 51-20 SEC. 3106(c)2. =^��
<br /> :�.,:.�
<br /> .:_ „�_.�.�
<br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHW r'-�"":;;„s
<br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUiJTED WITHIN THE REACH "
<br /> � RANGES OF WAC 51-20 SEC. 3106(bj4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. � ��
<br />�. 'r�
<br />., ,
<br /> 1 HER�BY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AN� KNOW THE SAME TO 6E TRUE 4ND CORRECL ALL A A�+��
<br /> � PROVISIDNS OF LAWS AND OfiDiNANCES GOVEANING THIS TYPE OF WOFK WILL BE COMPLETEO WHETHER SFEGFIED HEREIN OR I a �pi
<br /> � NOT, THE GRA�J7ING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY OTHEA t
<br /> s�� STATE OR L CAL L4 ��REGULATING CONST UCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY THE �`���-
<br />� '� OWNER O THIS P QPER TO PE O 1 THE WORK FOft WHICH APPLICATION IS MADE AN� / COAfPLY WITH THE STATE � ' �"� ""'
<br /> CONTqAC ORS LA 7827 G✓ D 6. 0 WAC. � ���+
<br />� ( �� � �
<br />�� � �������� ���1� !�'--/ � � -��.-�� FEE �� �'�,.
<br /> +•a
<br /> q r `�'4.:.
<br />�' ; $190dI11fB � �a�� 4t .
<br /> I aR��
<br /> r y
<br />�� DEBIT&CREDIT CARDS ARE NQT 4CCEPTED � �3�� _�j9� .,
<br /> ��'.��
<br /> ' � � & ��
<br /> arS_�dGi� — / / — _ _r � ♦��
<br />
|