Laserfiche WebLink
ELEG� i RICAL PERMIT A�r-PLICATION <br />C�TY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />_ 23a� !/i4�����n /�v <br />PROJECT ADDRESS <br />korik..r2. .��,�i�-1��� !� ��lflJ w� 4'�Zof <br />Owner Maii Address Ciry Stete2ip phpne <br />'ienant <br />Mail Address City <br />� S�.�v�, 3kd� �i.ykl� <br />Electrical Contractor Meil Address <br />fL�'1Q-N�S' tN� l�� <br />State License umber <br />/L,� [ //�E'.vcFr <br />Proposed Use of Building <br />City <br />Stale2ip <br />Stete/Zip <br />Contract Pdce of Work <br />Contact Person (Plan Review) <br />Description of Work to ee Done: ��(�.,/�/L.� F//s�' (�[Gp��y � �j /�„�,rY �%YlI7�' <br />Phone <br />Plwne <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 REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REpUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICPI 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 E�UIPMENT 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 />CERTIFV THAT I HAVE <br />.._.. ..._ _.........._ _. ... _....... _.._....... , .._..,,�.�.. ... <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR ' <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature <br />Date <br />AND KNOW THE <br />DEBIT & CfiEDIT CARDS ARE NOT ACCEPTED E G3N��7�O <br />IS MADE <br />= TO BE TRUE AND CORAECT. ALL <br />D WHETHER SPECIflED HEREIN OR <br />'EL THE PROVISIONS OF ANY 07HEA <br />V. THAT 1 AM AUTHORIZED BY THE <br />AND I COMPLY WITH THE STATE <br />FEE r� C+ a <br />.� <br />