Laserfiche WebLink
ELECT�ICAL PERMIT AP�!ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-88:57 <br /> I Z. O �J � G'G v C � !�l� l/�l(/l� � !-�( <br /> PROJECT ADDRESS <br /> , <br /> Owner Msii Address Ciry State2lp Phone <br /> �/L�f � � � L�yu�:.ft�.t� � 20 3 E���•rff Ma l I �'��d� <br /> � <br /> Tenant � Mail Address City State2io �C 6 ` <br /> /° 14✓'lne � �e�f�r'c �z�l' ��GL' �{ 5T�' Secff/c �/1�.� �c`�(07 751r -�5�i1 <br /> Elecirical CoNractor Mail Address Ciry State2ip Phone <br /> M��;�, � �rP � f�,�� /�I�R����� 1���� �� <br /> State License Nu er 1 Contract Price of Work <br /> L SIO�/`� Ge <br /> ^P7G � S �7� (vi � <br /> Proposed e of Building Contact Person (Plan Review) <br /> Description of Work;o Be Done: �v�s 1 c �� �u��f K r/2�(t,0 �i���s �['N�o�J � ,p/,�,-n o.:�, <br /> / / / 1 � T <br /> �Y h � 90/�YvK! 4�uTc �Y �1�✓t t /I�4N / 7'��X �r.�vrJ" <br /> NOTE: PLANS FOR ELECTRICAL WOPK AT EDUCATIONAL, FACI�ITIES 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 BE REVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED 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 flOUTES 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 /> ACCESSIE3LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SFIALL 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 HEREBY GE.RTIFY TN.AT I HAVE READ AND EXAf�11NED THIS APPLICATION AND KNOW THE SAhfE TO BE TRUE AND CORRECT. ALL <br /> PFOVISIDNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK W/LL BE COMPLETED WHETHER SPECIFIED HEAE/N OR <br /> NOT, THE GRANT/NG OF A PERMIT DOES NOT PFESUh�E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAbV REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF iHIS PROPEA'()' TO PERFORM THE WOFK FOR WHICH APPLICATIO�I IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1 B27 FCW AND 296.200 WAC. <br /> �� �// - i i�- <br /> �!7a�1 ��i� ,��D�� FEE �� �l'Z� <br /> Signature Date <br /> ELECAP(REV 812001� <br />