Laserfiche WebLink
ELECTi�ICAL 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 />Go�'7 S�C' et/�e.vQ� �nro.C� (,Uw''1 - f�oar��-v►� <br />ADDRESS <br />Owner <br />Mail Address <br />� <br />Ciry <br />,ur.� � 8�J <br />State2ip Phone <br />� 66/a.. ����-�,G�,,,� iv�� 4 s6� � Nw J'�.,,wry� Yal-y�� 3a�� <br />Tenant <br />Electrical Conlractor <br />Stale License Number <br />�ff�- <br />Proposed Use of Buiiding � <br />Descriptian of Work ta Be Dane: <br />Mail Address <br />Address <br />.� l�. . 4��' LI OG 6Kf� i <br />City <br />StatelLip <br />Phane <br />City �y State2ip Phone <br />'�(� soa �` _ <br />Contract Price of W ork <br />L..e. gF� / Ya.f- y� �- 31 c y <br />Contact Person (P n Review) <br />o� f' A4�� !'wL f p t�s <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVEQ BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL 8E ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACII.ITIES 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 ROUTFS OF TRAVEL SHALL BE MOUNTED A MItvIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTI�OL RECEPTACLES AND 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 />1 HEREBY CEATIFY THAT / HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COARECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GAANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER <br />STATE OR LOCAL LAW AEGULATING CONSTRUCTION OF THE PERFOAMANCE OF CONSTRUCT/ON. THAT 1 AM AUTHOAIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOAM TNE WORK FOR WNICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS L4W 18.27 RCW AND 296.200 WAC. <br />Z- �.� Q� FEE � n D� <br />O� <br />Date <br />ELECAP�REVBY2001) " / �D��— O77 <br />