Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320Q CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� <br />Id I`1 ��1 �1'� �,_t I�, i,:��' . <br />PROJECT ADDRESS � <br />L �_'1"c'�256�1 <br />Owner <br />i <br />�-J <br />� <br />I�,.� � "i�,''�: � <�, r�l,��� <br />A1ail Address <br />�,�, , r-i 1, l� n <br />ciiy s��iaz�P <br />TenaN hlail Address Ciiy <br />�� 1�1��('�lr� �,�«�i I< �',li� I .-�<}.�I� ���'�!i � <br />Eleclrical Contraclor Ma�i nddress ���v <br />(��l�,r�'�� i�`�_ :b� <br />Stale License Number <br />; _< <:, �1��,,, ;. <br />Proposed Use of Building <br />�'' <br />Oescnption of Work to Be Done: � %� 1 �� � I �' � ' � � � • ' ( " <br />Statc/Zip <br />�o_ia-o� <br />C oy/a—b�( <br />Phone <br />Phanc <br />. , <br />c<<) lJ�� � 1 �`l�S % `<<`. )/�`l� "C��''�- <br />� Slale2ip - ' Phono <br />� ��ii� i� � _ <br />Contract Price of Work <br />Conlacl Pcrson (Plan Revicw) <br />� <br />+ ,. � <br />li.� ����, r �l'_�` �i,� � � - <br />:- <br />� <br />i �-t���;r «, �?f :�/� !.�.� �..-�/e ���` �����.'i��rr - <br />NOTE: PLANS FOR EL[CIRICAL WORK AT [DUCATIONAL, FACILITIGS 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. WA:, 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CAR[ FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOT[: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL 5HALL BE MOUNTED A MINIMUM <br />OF 15 INCH[S ABOV[ THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />[NV�RONMENTAL AND OTNER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACC[SSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SFIALL BE MOUNTEU WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE �LOOR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAh1MED THIS APPLICATION AND KNOW THE SAME TO BE 7.4UE AND CORRECT. ALL <br />PROVISIONS OF LA WS AND OROlNANCES GOVERNING THIS TYPE OF WORK WILL OE COhIPLETED WHETHER SPECIFIED HEREIN OR NOi, <br />THE GRANTING OFA PERM1fIT DOES NOT PRESUhfE TO GIVE AUTHURI7Y TO VIOLATE OR CANCEL 7HE PROVlSIONS OF ANY OTHER STATE <br />OR LOCAL LAW REGULATING CONSTRUCTION OR TFIE PERFORhIANCE OF CONSTRUCTION. THA i I AA1 AUTHCRIZED BY THE OWNER OF <br />TlilS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADEAND 1 COhIPLY WITN THE STATE CONTRACTORS LA W 18.27 <br />RCW ANO 296100 WAC. <br />� /,S°/ /�/l' � l /- FEE _- <br />> _� � <br />1 Signalure / Dalc <br />( <br />ELECAP�REVfl2001) <br />l_ ���� lI % <br />