Laserfiche WebLink
ELEC-'�ICAL PERMIT AR�''LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � D30 � /Y �nbic � iu�� <br /> PROJECT ADDRESS <br /> 'Yv� n S� t,U,� �, e�1 S �v�-r �f�03 3 SS= �'3 ! <br /> Owner Mail Address City State/Zip ;%lona <br /> Tenant � Mail Address City Stete/Zip Phone <br /> ��.� ��o! ����� Avr ��u�P'bf ��/ �5� , 2(Ll <br /> Eiectr I Contractor Ma�l Address Ciry State/Zip Phone <br /> f�`y� i.� �l SS ! �{ Z L. P <br /> State License Number Cantract Price of Work <br /> l � QSi cl-Q/YIC'P <br /> Proposed Use of Buiiding Contact Person (Plan Review) <br /> � I r ' ( <br /> Descnption ol Work to Be Done: ��(j 1 /� e d ( l�f �i' (`}{ � "'�' � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS VVITH 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 RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITy: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACcS 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 EpUIPMENT 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 HEFE°Y CEATlFY 7HAT 1 HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> FFGVi5iGN5 OF 1.1 WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEGFIED HEREIN OR <br /> NG'. i rE Gn'ANTING OF A PEFNIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTH�R <br /> S'�'E CF LGCAL LiW FEGULATING CONSTRUCTION OR tHE PERFORMANCE UF CONSTRUCT/ON. THAT I AM AUTHORlZEO BY 7HE <br /> C.7.':E� GF TH/S PFOPER7Y TO PERFORM THE WOqK FOR WHICH APPLICATION /S MADE AND I COMPLY WITH THE STATE <br /> GGtiTFAG7CF.S L4W 7827RCW AND 296200 WAC. <br /> i � ) � <br /> �� FEE 3� <br /> r <br /> i� Signature/ <br /> ELECAP(REV BR001) E o 3 0$-C�33 <br />