Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES , <br /> 3200 CEDAf� STREET, E�/ERETT, WA 9820� <br /> 425-2`7-8810 - FAX 425-257-8857 <br /> 8—'8--�7 <br /> � Ea 70 8-d5Y <br /> ► Lsas - l�l A-u� S� �cc.►Y� 5, ,�� l�a.$) <br /> PROJECTADDRESS � I ZS_ �Q�h�� �C ,�9Nj}-7'� (�1��d 379 _, <br /> )AM. ��"" �- L S' c vc�c.F<< � r� <br /> Slale/Zip Fhon�IS� <br /> Owner ldail Atltlress C�ry <br /> `�?fr�ITi9T9� �'r�� As ,Rf�e' - <br /> Tenant <br /> �lail Address City State2ip ��-'� <br /> 2�v� — 2ie. 13�c S� Z�c�'" ��`Z�I�tc� �9• ' i4�' � <br /> y � City StalelZip Phone <br /> lectrical Contractor Mail Address � ��D � <br /> ����� v'i' �"� T � ContractPriceafWork <br /> State License Number <br /> ProposedvUse o B ilding Contact Person (Plan Raview) <br /> . �i�S i A�LC. C3 ) �7u-PC�L �`�L�P 75 1� -� <br /> Description of Work to Be Done: <br /> � � �� �z.�v �T sc��Tc��- <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 6E <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> EDUC�TIONAL FACILBITIES AND A L�HEALTH C E FACILITIESI PLANSIWILLEBE REVIEWE BY THIS OFFICE.HER <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> H,4NDICAPPED ACCESSIBILI'IY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> OF SI NCHES ABOVE THE FLOOR AWAC 51Fl-20 SEC 83106(OZTES OF TRAVEL SHALL BE MOUNTED A h11NIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACL.ES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 ECLON 6(b 4CE & FI ANDR�OT EESS THANv 6LINCHES A80�E THE�F OIORIN THE REACH <br /> ?RO�S�IONS OF L WS AND ORDINAiVCES GOVE;iN�INGE HIS'YP_�OF VOF'K�VI�dE COh4PL T�4VNE i�HtR SP CIFIcD HER N OR�VO i <br /> "iic'GRANTIPJG OF A PERMIT➢CES NOT?.RESUME'O GIVE AUTHORI7Y �0 VIOL7 i E CR CANCEL i HE PROVISIONS OF ANY O i HE,4 S i ATc <br /> �HIS PROPERTV TO P RFORM THE Ih�OP.'r(OR�'�JhlC,4 AP�LIC a i 10'J�S M11ADE AND�CCh PLY bVITH Th'M�TAI��CON7RACTCRS U7W 1807 <br /> iC'h'ANO P96.2Q0 WAC. <br /> � � � �i)D� FEE <br /> Signamre ) � Gate / <br /> ELEC�P(P�E`12!20911 <br /> � v70�5 - V5` � <br />