Laserfiche WebLink
ELE�C' �ICAL PERMIT AF .�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-0857 <br />� �.� !d 5" P1 � � <br />PROJECT AODRESS „ _ <br />Owner <br />Tenent <br />Addreee <br />Meil Addrees <br />Meil Address <br />�..t�T2 �'c �D2'lLi� <br />Stato Licenae Number <br />�r� r� P s ����.���.� <br />Proposed Use of Bu <br />Deacripiion ol W ork to Be Dane: <br />Ciry <br />Ciry <br />Ciry <br />Stete2ip <br />Stete2ip <br />Conlrect Pnce of Work <br />Conta� rson (Plan Revlew) <br />Pnone <br />�-i2 <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THF: STATE <br />EDUCATIONAL FACILBITIES AND ALL H�EALTH C E FACILITI SIPLANS WSLL BE REV EWED BY THIS OFFI ETHEF <br />NOTE: WIRING IN NON•DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBiLITY; ELECTRICAL AND COMMUNICATIONS SYSTEh1 FECEPTACLES 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 OTHER OPERABLE EdUIPMENT WITHIN <br />RANGES'OF WAC 5E 20 SEC.�3N 6(b �CE 8 F' AND OT L SS THAN 36LINCHES ABO E THE �LOOR IN THE REACH <br />1 HEREBY CEFTIFY THAT I MAVE READ 4N0 E.YA611NED TNIS APPLfCAT10N AND KNOW T'HE SA61E TO BE TRUE AND CORHECT .au <br />PROVISIONS OF LAWS .4NC ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WMETHEF SPECIFlED NEREIN OFl <br />NOT, iHE GFANTING OF A PERM1IIT OOES NOi PRESUME 70 GIVE AUTHOR/TY TO VIOLATE OR CANCEL THE PROVISIONS CF ANv OTHER <br />SWNER OFOTHAS PROPERTY TO PER�FORMU7'HE WOFKrFJRELYH�pH�APPEI�ATICNSSQMAOE AND ACOMPLYUWI�H'ZTME85TATE <br />CONTAAC70R5 L/4Y 78 27 RCW AND 296200 WAC <br />Signelure <br />ELECAPIREV 920G � 1 <br />Dets <br />FEE <br />� CI /,.7�0 — i�� � <br />�I <br />