Laserfiche WebLink
,• <br /> i 1 <br /> ELECTRI�AL P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR Sl'REET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �P203 ��/ere7`�/�a,/Jc..�v �i(y� o� -S'.�,'j�c M <br /> - � <br /> PROJECT ADDRESS <br /> Owner Mail Address Ciry Slate2ip Phone <br /> ��Pl' t CIOS <br /> Tenant Mail Address City Stale/2ip Phone <br /> ��URTIt -sio i5�os s J�cKsaa Seqi+le c.�A �'�vv aa6 ia9 is9� <br /> EIeC�ncal CoNfaCtOf Mail Address City Slate/Zip Phone <br /> l��u,e%I� SG l360 � �Gor� ' J <br /> State License Number Coniract Price of Work <br /> Y7ei•R C�T �/c`is �L CL/l�/ r <br /> Proposed Use of Building Contact Person (Plan Review) <br /> i Descnpliun of Work to Be Done: ,/C2 (D!'4� / . �/'rr,'f �'.L i�£) f !� /b M B/�e— <br /> .SCii�fG f, �+�/o"t"NG2 <br /> NOTE: PLANS FOR EL[CTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITfi SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OI" EVERETT PERMIT WILL f3E !SSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL 8E REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILIN: 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 /> ENVIRONR4ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REHCH <br /> R,4NGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCIiES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY 71�AT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROV/SIONS OF LAWS AND OROINAfJCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WifETHER SPECIFfED HEREIN OR NDT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEP.STATE <br /> OR LOCAL LAW REGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZE�BY THE OWNER OF <br /> THIS PROPER7Y TO PERFORM THE WORK FOR WHICH APPLICATIOfJ IS f.fADE AND 1 COMPLY WITH THE STATE CONTRACTORS LA W iB.27 <br /> RCW AND 296.200 WAC. <br /> ��� �! ` /� �O FEE l . <br /> Signature Date <br /> E�ECAP(REV 812001) ��, �'� <br /> (' <br /> c� `�� ��� <br />