Laserfiche WebLink
ELE�TRICAL PERMIT �-.�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� <br />,�' ; �' ,� j' ��, ���c �vr: � � �1v� L�U/�l , ���3�c� 3 <br />PROJECT ADDRESS <br />� "!- �7 /�7 '� / l �� �r7C' (��rS l '9 Vi. L l'<'rY � %� V li� `lJ.'c�j �(Z'J -7G`O -y['`J[J <br />� _ <br />Owner <br />Tenant <br />� i, V �'� � <br />Electrical Contractor <br />S�ate License Number <br />5 �' � <br />Proposed Use of Building <br />Description ol Work to Be Done: <br />Mail Address <br />Mail Address <br />`'> cn-n i ci i � i �'� 0 ���' <br />il Address <br />Ciry <br />City <br />State/Zip <br />Slate2ip <br />Stalo2ip <br />Contracl Price of Work <br />Contact Person (Plan Review) <br />i �r; <br />Phone <br />I�Tni l <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF bVASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-740. ALL OTHER <br />EDUCATIONAL FACILITIES AND A�L HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON•DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC C r� AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AhD 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 />1 HcREBY CERTIFY THAT I HAYE READ AND EYAM1IINED THIS APPLICATfON AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF LNORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTlNG OF A PEF6fIT �OES NOT PRESUh1E 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISlONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULITING CONSTRUCTfON OR THE PERFOFMANCE OF CONSTRUCTION. ThAT 1 AM AUTHOAIZED BY THE <br />OLVNER OF THIS PFOPERTY TO PERFORM1I THE WOFK FOfl WH1CH APPLICATION 7S M11ADE AND 1 COh1PLY bYITH THE STATE <br />CONTRACTORS LAW 78.27 RC4V AND 296200 WAC. <br />� � <br />� � i-�: � � "�'�"�' <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Date <br />FEE r� <br />�7 <br />�d 3�a-oo� <br />