Laserfiche WebLink
ELECTfiCAL PERMIT APP�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, =VERETT, WA 9820i <br />425-257-8810 - FAX 425-257-8857 <br />�� � <br />'r7—��J .S, �. � lJ['�C� F /� l.J �i �i <br />PRO�IECT ADDRESS �� <br />, _��.�,����-�� ����� �o�os£ <br />Owner <br />Tenant <br />Mail <br />Mail Address <br />E�ectrical Co�ttdctor Mail Address <br />i\��� ��\l�Y�� <br />State Licen e umber <br />\, i? �'�.iG�� \ <br />Proposed Use ot Huilding <br />City <br />City <br />Clty <br />��� <br />State2ip <br />StatelZip <br />W � <br />State2in <br />Phone <br />i QL C <br />hone <br />r <br />y <br />Phone <br />f l, rvv <br />Contract rice of Work <br />�oe ���S�U/�I; <br />Contact Parson (Plan Review) <br />Description of Work to Be Done: <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY' THE STATE OF 'JJASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFQRE CIT`( OF EVERETf PERMIT WILL BE ISSUED. WAC 296-46-140. ALL �THER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWcO BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW�=LLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICA710NS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUfvI <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(cj2. <br />ENVIRONMENTAL A�lD OTHER CONTROL RECEPTACLES ANC OTHER OPERABLE EQUIPMENT 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 />l HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEC/FIED 'NEREIN OR <br />NOT, THE GRANTING OF A PEAMIT DOES NOT PRESUH7E TO uIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS/ONS OF ANY OTHER <br />STATE OR LOCAL LAW REG�'LATING CONSTRUCTlON OR THE PERFORMANCE OF CONSTFUCTION. 7'HAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIg PROPERTY TO PERFORM THE WOFK FOR WH/CH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS VJ1 W 1827 RCW AND 296.200 WAC. � <br />�//� � FEE <br />�— <br />Date <br />DEBIT & CREDIT CARD�S-A14E NOT ACCEPTED <br />�v `/��-133 <br />