Laserfiche WebLink
� <br />PROJECT ADDRESS <br />Tenant <br />ELEC TRICAL PERMIT �_.�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, W.A 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Mail <br />Mail Add�ess <br />ContraCtor Mail Address <br />�YL/�iV.s'S i�z � P <br />State Licenae Number <br />_[fPSrsir.,e <br />Proposed Use of Building <br />Description of Work to Be Done: <br />City <br />City <br />S�ate2ip <br />Stule!'ip <br />«✓� 98Le / yzs- <br />=zs3-//o9 <br />Phone <br />Plwne <br />City Stute2ip Phone <br />� �i' 3D,� = <br />Con!!act Price of Work <br />Contact Person (Plan Review) <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 />APPROVED PLANS BEFORE CITY OF EVERFTT PERMIT WILL 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 REQUIRED l'O BE 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 ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c�2. <br />ENVIRONMENTAL AND OTIIER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT 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 HERE9Y CEATIFY THAT I HAVE AEAD Af:C EX.7MINED TH/S APPL;CAT/ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORD/NANCfS GOVEFNfNG THIS TYPE OF WORK W/LL BE COMPLETED WHETHER SPEC/FIED HEAE/N OR <br />NOT, THE GRANTING OF A PERMIT DOL• S NOT PR� SUME TO GIVC- AUT HOR/TY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY �THER <br />ST�1TE OR LOCAL LAW AEGULATWG CONSTRUCTlON OR THE PEFFORMANCE OF CONSTFUCTWN. THAT I AM AUTHORl2ED BY THE <br />OWNC-R OF THIS PROPERTY TO PERFORM TIiE INOFK FOR �VH/CH APPLICATlON IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOFS LAW 78.27 RCW AlJD 296.200 WAC. <br />Signalure <br />Oale <br />ELECAP�REV 8/2J01) " E o3 d5 - l� q <br />FEE � �� <br />