Laserfiche WebLink
ELECTRICAL PERIVIIT AP'PLICATIVN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�� � I 5 � i t� ��- � � 1/e/�fif W'/�f. � �� � �� <br />PROJECT ADDRESS <br />IMaVL�� G�weire.tfe l�qiSi7�Pi.�✓ I=y�r��Jt.tr��.�� <br />MailAddress City SlatclZip <br />O,vner , <br />Tenant Mail Address Cily <br />^ ' Zv]t= . S.� L <br />f��r� 1-I«T,-�'� S�o� <br />Eledrical Conlredor Mail Addross Cily <br />l3uz�L���t� _ <br />State License Number <br />2�--�J <br />Proposed Use of Building <br />Description o( W�rk to Be Done: � e� �k ��'� '���'� � <br />StatclZip <br />;Z�N y2S�3d olS�S <br />Phonc <br />Phane <br />3 � U2S77s"-676 6 <br />Slalo/Zip rnonu <br />120 � <br />Con rect Price of Work <br />�r�z Le� <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED PLANSEBEFORE OCITY OF E ETRETT PERM TAWlS BEHSSUED. J WAC 296-46-140W ALE OTHER <br />EDUCATIONAL F�!:ILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIFWED BY THIS O�FICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACL[S ON WALLS <br />OF 5INNCF ES ABOVE THE FLOOR �WA 5120 SECB3106(OZTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTAGLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC 5E 20 S CLONOs�b)4CE & FI ANDRNOT LESS THAN 6LINCHES ABOV�E THE�FLpIOR.N THE REACH <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AI'PLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7�. ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVERNIN6 THIS TYPE OF WORH WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING QF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STA TE <br />�THfS PROPERTY TO PERFORM T�HE WORK FOGR WHICH APPLI�CA�ON 5 MADE AND� COTMPLYWITH THE S ATTE�CONTRAC O 5 LA W 8.�27 <br />RC W AND 7.96.200 WAC. <br />/�����/�L!����/�. <br />^ SignaWro Dala <br />ELECAP�REV 812001) <br />� d3 i 2 �07� <br />FEE <br />