Laserfiche WebLink
�LEC � RICAL PERMIT A�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257•8810 - FAX 425-257-8857 <br /> (� I )� � OM�kJ�nuh� A � 13 �3�-� 2sI <br /> PROJECT ADDRESS <br /> y 1�,, Rv113�' 103 lzd�` s� SFi ��-lbz �v!'t�lE!l ,��,iF 9'�ZoF — <br /> Owner hlail Address City State2lp Phone <br /> Tenant Mail Address City State/7.ip �s�o�r// <br /> CL���� S AL.E-f 1� S �L j1V(� ��ib�� � f��� �U�� Y <br /> Elecirical Cont�actor Mail Address Cih,� S�etalLip Phone <br /> !�Y"��ti� Ss �Y2 y� <br /> State License Number Contract Price of Work <br /> ��V�V� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: � NF}/�(�t ���h A M P S'EN-V�c�c. ��a� � ./Ll�i[�� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS ML;ST 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. �VAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 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 /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR AIONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REhCH <br /> RANGES 7F WAC 51-20 SEC. 3106(b)4 E& F AND NOT l_ESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROV/SIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GFANTING OF A PERM/T DOES NOT PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW AEGULAT/NG CONSTAUCTION OR THE PEAFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZEO BY THE <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 19.27 RC AND 296.200 WAC. � <br /> �l l/ � �� �p � FEE ��Q�, <br /> / Signature Date <br /> BIT&CREDIT CARDS ARE NOT ACCEPTED �5 � � _ � ' / \ <br /> y v�� <br />