Laserfiche WebLink
ELECT( ,1CAL PERMIT AP� �ICATION <br /> CITY OF EVERETT PCRMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, Wq ggp01 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 3oi9 a yr� si <br /> PROJECT ADDRESS � <br /> �''r�► s��r�r -T <br /> ow�e� 3a�9 .? `l y��i/k1! l�.4 �'�' <br /> Mail Address "?�� y�� ��i �� <br /> Ciry State2ip <br /> Phone <br /> Tenant Mail Add�ess <br /> Cv�h� �7 City State2ip <br /> ��6 U�� 'rX S J O� �VfJDFTl �V L1 / Phone <br /> tiectncalContractor .����/ (.�/f} L���o/ y1C ��o �ii i <br /> MadAddress " <br /> 1 �(Y i K/V/ <br /> ���J�z� f� State2ip Phone <br /> State License �umber r <br /> Contract Price o!Work <br /> S <br /> Proposed Use of 6uilding <br /> Contact Person (Plan Review) <br /> Description of Wa�k to Be Done: ���� S•F�v/C, <br /> � - a�a ,�,a <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNGS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT 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 REQUIRFD TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHFR OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WqC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION qND KNOW THE SAME TO BE TRUE AND CORRECT. q�� <br /> PROVIS/ONS OF LqWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PEh,vflT DpES NOT PRESUME TO GIVE AUTHORITY 70 VIOLqTE OR CANCEL THE PROVISIONS OFANY OTHER <br /> STATE OR LOCAL LqW RECaU41 TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I qM AUTHORIZED BY ThIE <br /> OWNER OF THIS PROPERTY TO PEFFORM THE WORK FOR WHICH APpLICATION 1S MADE AND I COMPLY WITH THE S7ATE <br /> CONTRACTORS LAW 7g,y RCW fiND 296.200 WqC. <br /> ����1� ' <br /> S��y � FEE ! <br /> / Signature s� 00 'I <br /> � Date :� <br /> D BIT&CREDIT CAHDS ARE NOT ACCENTED <br /> �o�1G5-osG <br />