Laserfiche WebLink
EC:T <br />Owner <br />Te,na.n1t <br />I�C.J <br />ELE �L fRICAL PERMIT ArPLIC�ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />, 425-257-8810 - FAX 425-257-8857 <br />Address <br />Mail Address <br />= �' 310�1(�, <br />City <br />Electrical Con'ractor Mail Address Ciry <br />l.(� 1 ��o>�' � 12-/c� 1-1 <br />State License Mumber <br />State2ip <br />State2ip <br />�-'�ITt -�A� <br />sia�arc�P 3� <br />c��� <br />Contract Price of Work <br />��U.>G � .J� <br />Proposed Use oi Buil ' g Conlact Person (�I�n Review) <br />� <br />Descriplion of W uk to Be Done: �°iJ'� �d-�� �/J'1t�YCEL � <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APFROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH uUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSt1ED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FA�:ILITIES AND ALL H[ALTH CARE FACILITIES PLANS WILL BE P,EVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN �VON-DWELLINGS IS RE�UIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABO\�E THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL l�ND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51 •20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CEATIFY THAT 1 <br />PROVISIONS OF L7WS ANl <br />RCW <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />THIS APPLICAT(ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />'HIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />�O GIVE AU7HORITY TO VlOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />3 THE PERFOFMANCE OF CONSTFUC770N. THAT 1 AM AUTHOFIZED BY THE <br />iK FOR WHICH APPLICATION 15 M1fADE AND I COMPLY WlTH THE STATE <br />Date <br />FEE� 67 a � <br />FD�'�l(— o� <br />V <br />