Laserfiche WebLink
APPLICATI N FOR ELECTRIC�►L cRMIT <br />C/TY OF EVERETT <br />BUILDING DIV/SION <br />3200 CEDAR STREET <br />EVERE7T, WA 98201 <br />(425) 257-8810 <br />//��j�� <br />.�� y <br />�027- �( -z `>^ �. ��(. <br />PROJECT ADDRESS <br />--� <br />� �� l � �.<_l (? �_�� �( ��v'� «. � <br />Ownet M�Y Address City Stau/Zip PMrn <br />Tenant -� ` ^ �.ailAddrns <br />� L, � . 1\ �, � L 4 � °� L / � 5s <br />COntreCtot MailAddresa <br />City <br />•-' � _c �> ���_.i ( � f <br />cn� <br />��� A�iLLL�% G�-1�( �"�� — <br />State Licenae Number <br />--� <br />'1��: ��� (��—�. �=� <br />Proposed Use of Bullding <br />7 i <br />Description of Work to Fia Done: <br />a� � _ <br />h. <br />ShtelZip <br />�c ,�� � �, j , <br />�U� Y � --_ <br />Contract Price of Work <br />,... ) �l` <br />P�on� <br />2�/�i �OY.�13�\` <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />MUS7 BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br />STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46•140. <br />NOTE: WIRING IN NON-UWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />F!ANDICAPPED ACCESSIBILITY: ELECTRICAL ANU COMMUNICATIONS SYSiEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONr ACCESS 8LE ROUTES OF TRAVEL SHAIL BE MOUNTED A MINIMUt.� <br />OF 75 INCHES ABOVE THE FLOOR. WAl 51-20 SE�. 3106(c)2. <br />ENVIRONMENTAL ArJC OTH[R C�tJTRGL RECEPTACLES AND 01'HER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />R,4NGE.S OF WAC 51-20 SEC. 3106(h)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 f=REBY CERTIFY THAl 1 HAVE READ AND EXAMINED TH7S AFPLICATION AND KNOW THE SAME TO BE 7RUE AND CORRcLl. ALL <br />P`iOV1510NS OF L4 WS A.ND OROINANCES GOVERNING THIS NPE OF WORH WILL 8E COMPLEiED WriETHER SPEpFIED HEREIN OR NO f, <br />ThIE GRA�lTING OF A PERMIi DOES NOT PRESUME Tf` t;IVE AUT.40RITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OT}fER STATE <br />OH LOCAL LAW REGULATING CONST,4UCTION OR THE PERFORfdANCE OF CONSTRULTION. THAT I AM AUTHOF.IZEO BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FUR YM1CH AFPUCATION IS MADE AND 1 COMPLY WITH THC STATE CONTRACTORS LAW 1A.Y7 <br />RCW AND 196.100 WAC. <br />,\ _ <br />N <br />SignaWro <br />�- <br />Dale <br />�� FEE 4 � <br />�J <br />.� 7 �i 7O <br />new��ev �unr <br />