Laserfiche WebLink
APPLIC�ION FOR ELECTRIC�� PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 7200 CFOAR SiREEi <br /> EVERETf, WA 98201 <br /> PNONE:(425)257-8810 <br /> FAX: (425)257-8857 <br /> 3�.25 Co�b.y �,,� Svile S � �"��ror <br /> PROJECT ADDRESS <br /> Gwner Mail Address City SWle2ip Phone <br /> Tenant Mail Adtlress City State/Zip Phone <br /> ����• El��-h;c �!S-�ot'+ S-hK-cl"S�,/ �v�e,.c.�"fi- �.1fti 98203 y.zs, 3 y�-�-6 00 <br /> Electrical Coniraclor Mail Atldress Ciry State2ip Phone <br /> D�-R'�E�� � '�P3 ��2, 800 °='- <br /> State�icense Num6er Contract Pdce of Work <br /> D�. oGF;�t �/ <br /> Proposed Use of Building Conlact Person (Plan Revieyv) <br /> Oescription of Work to Be Done: M(�or �wKo���Co�n , Ir�.(Occ..ie QXi 5� ��� +�y�-�„�_E <br /> o.�,(ac��, a,+lei- . <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS h1UST BE <br /> APPROVED BY THE STATE OF 1NASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLAPJS BEFORE CITY OF EVERETT PERMIT �VIIL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACL"WAYS, tiiC OR AC CABLE. <br /> HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTE�1 RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A �iINIMUM <br /> OF 75 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRON�v1ENTAL AND OTHEFi CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSI6LE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> ! HEFic9Y CESTIFY THAT 1 HAVE FEAD AND EXAhIINED 7HlS 4PPLlCAT10N AND KNCW THE Sdh1E TO PE TRUE AA'D COFFECT. ALL <br /> PFOVISlCNS OF UWS AND CFCINANCES GOVEANING THIS TYPE CF WCFK 4VILL BE CCMFLETED WHETHE.4 SPEC;FIED HEnEIN OR <br /> NOL THE GRANTING OFA PEFhIlT DOES NOT PRESUME TO GIVE f.UrHOFITY TO VICLATE OR CANCEL THE PRUVISICNS CF ANY OTHER <br /> SiATE OR LGC.1L 41W FEGUL,dTING CONSTFUCTION OR THE PEFFORhiANCE OF CONSTRUC7ION. TNAT 1 AM AUfHOFIZED OY THE <br /> OWNEn^ UF THIS PFOPEATI' TO PEnFCFhI THE :YCFK FCR WNICH APPL/CATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTCFS L7W 78.27 FCW AND 29fi200 bVAC. <br /> � �' " ' ��� I Z � 7� OI FEE <br /> Slgnature Date �QI�a—�?d <br /> ELECAP(REV89& — <br />