Laserfiche WebLink
ELECT 1ICAL PERMIT AP' LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />Z (ic //c �. <br />"rP/e /� <br />PROJECT ADDRESS <br />��PGI /i 1 � j)? <br />/ <br />oZ 6 �0 ��GY/ <br />C rre <br />(N 4 <br />Owner <br />Mail Address <br />city <br />State/Zip Phone <br />% <br />4 <br />Tenant <br />Mail Address <br />City <br />State/Zip Phone <br />Eledpjl <br />Lic V,o,13cyao9 <br />36a <br />IV,Z*kewbo,( 63-Aa3&3 <br />Electrical Contractor <br />Mail Address <br />City <br />State/Zip Phone <br />C/ )_ a / / 0 6 <br />_04C <br />Stale License Number <br />ao 0 <br />Contrac�,tl1Price of Work <br />A )r <br />// /n/ 0 C0/o <br />Pre osed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: _ Tl-, J-/ JAI � �% M e fP�J 'to m e /:er L � / s/ /r%,e <br />4"R {He fP�'s' fcr 0oSJILle /'u/11vre V5' e- <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES 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 BY THIS 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 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 />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br />4L Q a0 0,1� LF <br />Signature Date <br />ELECAP(REV WD01) <br />