Laserfiche WebLink
� <br />� <br />�LECT�ICAL PERMIT AP1�`�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEOAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />D`- �t � , ��e�i� i�ih a�Zo3 <br />PROJECT ADDRESS <br />Sw��F„sc (i<��cs �c�, i� :2s5B 4��cv��� v� 9,�'�z yLS`3�/7 3��1y <br />Owner <br />Tenant <br />MaN Address <br />Mell AOdress <br />Contractor Mail Address <br />�� R:i G-�� C.s �a 3�� F <br />State License Number <br />�—*rv"Y�1`-'Cltl�k'�J (-] � 1� <br />Proposed Use of Building ` <br />Description of Work to Ba Dono: � V� <br />Ciry <br />City <br />SWtelLip <br />State/Zip <br />Ar ��7�j <br />Phone <br />Phone <br />IiJ? <br />Ciry StatelLip Phone <br />� �ti�•� <br />Conlracl Prico of Work <br />�-L�� 5��,.,�� <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL N'ORK 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 EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FAClLITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED 8Y THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO 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 />ENVIRONMENTP . AND 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 />1 HEREBY CERTIFY THAT ! HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVIS/ONS OF L1 WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETEO bVHETHER SPECIFIED HEREIN OR <br />N07, THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISIONS OF A,YY OTHER <br />S7A7E OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY THE <br />OWNER OF TH/S PROPERTY TO PERFORM TNE WORK FOR WHICH APPLICATlClJ IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW iH.D RCW AND 296.200 WAC. <br />Signature <br />ELECAP�REV d�2001) <br />� /3-�f <br />Data �p�Cjq-Q$(`j <br />FEE <br />