Laserfiche WebLink
APPLIC4'TION F()R ELECTRICAL PERMI�" <br /> cirr oF ev<RErr <br /> BUILDING DIVISICN <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 �� <br /> 259-8810 <br /> � �/; /, 5 ��l, S� <br /> PROJECT ADDRESS <br /> =. �'L- 2, ` �'l,��c�iNG� /-�r.Il1/:,.��i�i�L� �/-��c,� 1��� <br /> Owf10f Meil Addrass Ciry State2p Phone <br /> 3�0 7 �o-�.l>,r.� ���� ��Zo/ 3� -/l03 <br /> Tenant Meil Addrass� City Stete2p Phana <br /> s ,��,12 f'�D�� �I'��/L 7,(� �/)/�'1/K/Y�S (��ic 9�(l7�(0 7�Z/S�S� <br /> Electricai Contractor Maii Addrass Cicy 5[ece2p Phona <br /> 5 fC-�"Ll' � U�S�/� 6� 3� l, � <br /> State License Number � Contract Price of Work <br /> a��/f ,��a I,r: %/�C��/� <br /> Propased Use of Bwiding <br /> Desr,ription of Work to Be Done:_ /cyrr[�)y✓-�li �1= /7�C(.l� /�G�Cf�-11L� <br /> N6TE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J08S N�UST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVFRETf 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: ELECTP,ICAL ANC? CC'vIMUNICATIONS SYSl'EM 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 OTHEI� OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHI� THE REAChi <br /> RANGES OF WAC 51-20 SEC. 31061b14 E & F AND NOT LESS THAN 36 INCHES A80VE THE FLOOR. <br /> l HERfBY CERTIFV THAT 1 HAVE REAO AND IXAMlNED THIS APPL/CAT10N ANO KNOW THE SAME 70 BE TRUE AND CORRF.CT. ALL <br /> PR(1VlS/ONS OF LAWS AND ORO/NANi.fS GOVERN/NG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFlED HERE/N OR NOT, <br /> THE GRqNTING OFA PERh1/T DOES NOT PRfSUME TO GIVEAUTHORITY TO VlOL47E OR CANCEL 7HE PROVISIONS OFANY OTHfR STATE <br /> OR LOCAL IAW REGULATING CONSTRUCTION OR 7HE PfRFORMANCf OF CONSTRUCTION. THAT l AM AUTHORlZED BY THf OWNER OF <br /> THfS PROPfRTY TO PERFORM THE WORK FOR WHICH APPLICAT/ON!S MADEAND l COMPLY WITH THE STATE CONTRACTORS CAW f 8.27 <br /> RCWANO 296.200 N�AC. <br /> ���QP.��M 4c ����Ll.�--t-'l�, �f �7i� �� FEE �`d f'�T <br /> Signeturo • Data /�3�, �o <br /> . EIfCI.IIx[V eNsl <br />