Laserfiche WebLink
Hi-lo Elect 425-672-d716 p.l <br />ELECTRICAL PERMIT APIPLICATfON <br />CITY OF EVERETT PERMIT SEIRVICES <br />3200 CEDAR STREET, EVERETr, WA 98201 <br />425-257-88'IO - FAX 425-257-88�7 <br />/.'•.ZIS R•��nP.� <br />PROJECT ADDRESS <br />L ' 'j0/lw.-,rt <br />orr <br />Owner <br />Tenant <br />/i✓( <br />22lS� �c•�•^er fl��! <br />Mail Adtlress <br />Ma�l Address <br />[�aiE r <br />CiY; <br />City <br />n✓., ti� �,.�� <br />stu�crlp <br />Siata2i;� <br />4�S 157=[Zf�b <br />Pnone <br />PhCne <br />� "L.' ��C./�..( �✓1C. /o7'�O �J:q /�oC !�. 57'S {4:Y T.r . �7 i� C.�..l� [' ' e. i <br />��. ✓•- ,-., .... 4.' _ s_ s. t'r S.. <br />Eleclrical CoMractor Mail Atltlress Ci�y Staie/?�p PhcnC <br />Hz'�c �tr 5`��; �c� <br />State License Num6er <br />���.,.-1,.-,� C:,,�..,]�• <br />Proposod Use of Building <br />Description ol Work to Oe Done: �✓ �•=' �' f""�E��I �'''�" <br />'�''_1/�. 3� <br />ron9acl Price ot Vdorlc <br />T.� i-=.•c=..;'.� <br />ri�cl Pe�son lPla.n Reviev:j <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACIL�TICS UTILIZiNG STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGI"ON. APPLICANTS WITH SUCfi JOBS (v1UST Sl�OW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVER6TT PERNIIT WILL 6[ ISSUED. WAC 296•46-�40 ALL OTHER <br />EDUCATIONAL FACIUTIES AND AL� HEAI.TH CARE FACILf�IES PLAIJS \NILL 6C REVIE'N[D BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELUNGS IS R[OUIRED TO B[ IN Rl10EWAYS. MC OR AC CAG!_�_. <br />HANDICAPPEO ACGESSIBILITY: ELECTRICAL AND COMMUNICAI'IOhIS SYSTEIdI REC'cPTnCLES ON WALLS <br />WITHW ACCLSSIBLE SPACES OR ALONG ACCES51I3LL= ROUTGS CF TRAVL=L SI-fALL BE P✓tOUi�JTED A MINIMUh4 <br />OF 15 INCHES �BOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPT�CL65 AND OTHER CPEP,A��[ EQUIPh4EIVT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIB�E ROUTES OF TRAVEL SWNLL 0c fvIGUNTED WITHI(� THE P,EACH <br />RANGES OF WAC 51•20 SEC. 3106(b)4 E& f AND NOT LESS THAN 36 If�CI-IGS AriOVE TFiL= FLCOP�. <br />I HF.REdY CERTlFY THAT I HAVE READ AND EXAA1INE0 i H/S .1PPLfCATlON .4ND ICNOIh� i Hc' J.1fv7B TO cE TRUF_ A7JD COliFECL i.LL <br />PFOVI51ON5 OF U1lNS AND ORDINANCES GOVERNING TH1S T)'YE OF WOFK PV/LL GE :.OAfPLETcn bVNEiHEn SPEC�FIL-O HEREIN CR <br />NOT. THE GRANT/NG OF A PF.RMfT DOES NOT PRESUh7E TO GNF AUTI/OF1,-1' TO VlGL4 %E GF'. CANGEL � t+E FFOV151CNS OF,:NY GTHEF <br />STATE O!i LOCAL f.AW REGULATII:G GONSTRUCTIOlJ OF THE PERFORh:ANCE OF �GA'STFUCTICAI %NAT I Af.' .�UTHCFlZeD BY THE <br />GWNER UF THIS PROPERTY TO PERFORM THE WORK FOH Wl�/lC.4 aPPL;CAl'!O!d IS ,;I.tiDE �NC : CO/dP!_}' IYliH TNE STAiE <br />CONTFACTORS L.iW 78.Zi RCW ANU 296200 V✓AC. <br />(� • i��.Jjl <br />SigwWre Dalc <br />DEBIT & CREDIT CAR�S ARE NOT ACCEPTED <br />��C <br />��j� - c � <br />