Laserfiche WebLink
ELECTi�"CAL PERMIT APF�.ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> PROJECT ADDRESS <br /> � � , � �� y ., <br /> � % �ir. � -•, . � � , : Lt . � r <br /> Owner ` Mad Address Ciry StatelLip Phone <br /> . , � .� . . . . . . ; . '� �� � � •-;�� i, �� % ,�� � �i r� A � ��Z-S- <br /> -- , � � . . - . , . __ , �,i.�'I/L� C �:/-rj ��✓✓���7�c. <br /> Tenant . � � Mail Address Ciry SWte2ip Phone <br /> i � ^' � <br /> i � ' <br /> / , 1 � <br /> ' - � : ' �t� �� ���f.i- �'✓er j . � - V��! � . - ' <br /> Electrical Contractor � Mail Address � �� � Ciry StatelLip Phone <br /> ✓,,, ,�,_., -- �. .; � / �i;� 1-- — ,;�.�� 1.�; l•�:,�, r,�,u�.0 !,%� . 7.V�;s' ? �{zSi`fS J��� <br /> State License Number Contract Price of Work <br /> /�� % �7 ,� : „ � �� <br /> S'N.��.`.� � � 1� /° � /C' [.�i / lj� .`< <-�o,.�,� T i:��.��, ;.yJ K.r-1��1 <br /> Proposed Use of Building ' Contact Person (PIa1i Review) <br /> Description of Work to Be Done: _..���' j/ � _-(� � � ��.` �' i�i :� � / d �, '� �" F' �-.�,' ��', <br /> , / , v,� / f � � <br /> . _ '! �,. , r�� �. , � �✓ i r r� '✓J i ' .. �, � . � / `7 .,� - <br /> - . ." ' � � . r / J r `. _ <br /> �' � <br /> � . . . .^ L (rl / � <br /> NOTE: PLANS 1=0R ELECTRICAL WOFIK 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 FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL 8E REVIEWED BYTHIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIOIJS 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 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 TH�N 36 INCHES ABOVE THE FLOOA. <br /> I HERE6Y CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICAT/ON AND KNOW 7HE SAME TO BE TRUE AND CORRECT. ALL <br /> PROV/SIONS O�LA WS AND ORDlNANCES GOVEfiNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANT/NG OF A PERMIT OOES NOT PRESUME r0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISlONS OF ANY OTHEF <br /> STATE OR LOCAL LAW AEGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF TH!S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTAACTORS LAW 18.27 RCW AND 296.200 WAC. � <br /> ! '� 1..:_ � l .-� ,k'i� S� / Z C� y FEE 7��-, <br /> Signature y Date /�v <br /> ELECAP(REVBI2001) l�I�� S� � <br />