724 48TH ST SE 2016-01-01 MF Import

ELECT'�ICAL PERMIT AR LICATI�ON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 � 425-257-8810 - FAX 425-257-8857 � � �� 7r! ST S� PROJECT ADDRESS . k�� ST;�� Idlmr�u;si ?.�� tBT'sr s� �rrek'e� Wa �tzs,�s�o�sl Owner Meil Address Ciry State/Zip Phone Tenant � Mail Address City State2ip Phone ; G STa� � Tl U/ 1�5� S 7-�D4 Electrical Contr ctor Mail Address City SlatelLip Phone ��N� De zo� )s _ � OSO . I�D State License Number Contrect Price of Work Proposed Use of Building Contact Person (Plan Review) Description of Work ro Be Done: ,J e/� V�CC G//qACIC� �«/ � NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE EDUC�ATIONAL FACILBITIE3 AND ALL�EALTH C RA E FACILITI SIPLANS WSLLE E REVAEWED BYTHIS OF I ETHER NOTE: WIRING IN NON-DW E!LINGS IS RE�UIFiED TO BE IN RACEWAYS, MC OR AC CABLE. HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS OF 15I WCHESSABOVE THE FLOOR. WAC 51A-20 SEC 3106(�pTES OF TRAVEL SHALL BE MOUNTED A MINIMUM ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN RANGESI OF WAC 5E 20 S CLONos�b)4CE & FI ANDR OTTE S�THAN 36 INCHES ABO E THE D OOR IN THE REACH I HERE9Y CERT/FY THAT 1 HAVE flEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL PROVISIONS OF LA WS AND ORDINANCES GOVERNING TNIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFlED HEAEIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GI VE AUTHORITY TO VIOL4TE Ofl CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL L4W RECaUl�1T/NG CONSTRUCTION OR THE PERFOAMANCE OF CONSTAUCTfON. THAT 1 AM AUTHORIZED BY THE OWNER OF THIS PAOPERTY TO PERFORM THE WOFK FOR WHICH APPLICATfON IS MADE AND I COMPLY W1TH THE STATE CONTRACTORS LADY 78.27 ACW AND 296200 WAC. c�� ^ Q/ / Cy�� O /!�� i X�'� _ C 06-1�b/DL FEE Signature Date ELECAP(REVBI200�) G�2.�/2--�I �p .