Laserfiche WebLink
ELEC ICAL PERMIT AP �ICATION <br /> CITY OF EVERETT PERMIT SERVlCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � <br /> \ `- 0 \ 'r-�6VJl"f� ��1: E�eR6'IT � �20\ <br /> PROJECT ADDRESS / <br /> _:Z cTn n i/ � 1J O / �.,I CJ1L W S'i ' 1 �� 1 1-�Nnil'il R�t: w�9 Q� z-�'� <br /> Owner MailAddress City State2ip fhone <br /> 5�� - <br /> TenaN Mail Address City StelelLip Phone <br /> �1'fS'( L��(1Q1( Y12 IL( i'Vll(1L0(�y(h� �N( 'li_�1 QQ��rrfl..n��n S�FL_ �125�5'g�•021� <br /> Eiectrical Conhactor Mail Address City Stat ip rnone <br /> Y14STl'.L T9 �N(L� _1�-f!'o0 <br /> State License Number Contract Pnce of Wark <br /> �,SrQo <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work to Be Done: {�(� Ll( h41N(� f �2 t .�'1 S X - 2_ - <br /> IMO C'�C�A/t`tM'Z fLL-t�7vKl.i. S• FiJ2 ��kQ. T - �-1 U2C��Tf <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 THE STATE <br /> EDUC�A IONAL FACILITI S AND ALL�EALTH C E FACILITI SI PLANS WSLLEBE REVAEWED BY THIS OFFICE.HER <br /> NOTE: W IRING IN NON-D1'y FLLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HA�DICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITNIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRF.VEL 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 E�UIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC.�3N 6(b)4CE & FI AND OT LE 3 THAN 36 INCHES ABO E THE�LOOR IN THE REACH <br /> I HERE81' CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KfJOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF WWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OF <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PAESUME TO GIVE AUTHOFITY TO VIOU7TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL UIW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TMAT 1 AM;AUTHOAIZED BY THE <br /> OWNEq OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 16.27 RCW AND 296.200 WAC. <br /> � �� �"� ; Z 5 u�r FEE <br /> � i <br /> Signa�ifte Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �CN03/.xj <br />