Laserfiche WebLink
ELE��riIC�AL PERMIT AF'��LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CtDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />ROG{� 'Se,/IG/ �(�`� <br />PROJECT ADDRESS <br />��.er��! .sc�l Disf.-,- -1' �' 7/s occ�� �' .o�� c�,�- 4s.co! .� �8' y)�a <br />owner <br />__S"Cc. ��z-� <br />Tenant <br />Maii Address <br />Mail Address <br />�.oll 73 sr <br />Mail Address <br />DSS�<. x�c oz�. (�✓ Z <br />State License Number <br />Proposed Use of Building <br />City <br />City <br />City <br />State2ip <br />State/Zip <br />� <br />StatelZip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />f:cription of Work to Be Done: �_� �n� � o%Q ' <br />Phone <br />Phone <br />� <br />Phone <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 8E ISSUED, �; 4C 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REJIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTflICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRA\�EL 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 CERT/FY THAT 1 HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OADINANCES GOVERNING TH/S TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRAN7ING OF A PERMIr DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OF CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL U1W REGULATING CONSTFUCTION OR THE PERFORM.ANCE O� CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br />OWNER OF TH/S PFOPERTY TO PEFFORM THE WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY LNITH THE STATE <br />CONTRACrORS LAW 18.27 RCW AND 296200 WAC. <br />�ignamre Dato <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />E d3 � -�-� <br />FEE <br />