Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 If 2--/ -2-G3 <br />425-257-8810 - FAX 425-257-8857 E-0 3/ Z -C6 y <br />s 7 / 7 PC.- BL1J - <br />PROJECT ADDRESS <br />fAf,g,4 t_.o /bA I lyd/�r/Es 2/io//-3z Alf W 9By3fn yL57S0-��S' <br />Owner Mail Address City State0p Phone <br />Tenant Mail Address City State/Zip Phone <br />fv c 6 r i iy >-c1= r i nl C <br />Electrical Contractor Mail Address City State2ip Phone <br />Aqc (�DI;JEL/aopp— <br />State License Number Contract Price of Work <br />LI YU=X R C S <br />Proposed Use of Building Contact Person (Plan Review) <br />NCGU <br />Description of Work to Be Done: ��� ,�'ri.`X i/- /L� /4 t — / OU/} /fo[,L//zf iLpET)r ` <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 1 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 RY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE �74TE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Iz-/L-033 FEE?Y OC 00 <br />'Signature -' Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED a _ c <br />