Laserfiche WebLink
ELECTr�ICAL PERMIT AP!-�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� 5%S %�uc; ,.� ��. ��,.,�, <br />PROJECT ADDRESS <br />5� (rlrz�t'-r.T- SSiS- /�cr,t�,.i �/%T%iY'c' r •��; �.� <br />O�vner <br />Tenanl <br />��/'I/�IJCI�/L ��iN' <br />Eleclrical Contractor <br />��if�LrSOvc G S �1 ��/ <br />State License Number <br />Pioposed Use of Building <br />�daii Address <br />Pdail Adtlress <br />'./C �'J16 -lC�S ��'S'i <br />Mail Address <br />Description of Work to Be Done: �70�' <br />City <br />City <br />StateiZip <br />State2p <br />�fS��; <br />State/Tip <br />�C�li(J, p (i <br />Coniract Price of W ork <br />Contact Person (Plan Reviecal <br />phcne <br />Phone <br />Hz -7 �- <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 BE ISSUED. WAC 296-J6-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIE`NED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS RGQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />b1�!THIN ACCESSIBLE SPACES OR ALONG ACCESS!BLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />FNVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />�.CCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />F�ANGES OF WAC 51-20 SEC. 3106(b)4 E 3 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />i"C-FEBY CEFTIFY TNAT 1 HAVE FEAD .dNO EA,ih1WED THIS APPLICATION AND KNOIY 7HE SAh'E TO 6E TRUE AND COFn'ECT ALL <br />=�O17S10NS OF L.r1WS AND OFDINANCES GOVEFNING iHIS TYPE OF WOFK 11'/LL 5E CChiPLETED bYHETHEF SPEGFIED hEFEIN Gn <br />C:77. i HE GRAN7ING OF A PEFMIT OOES N07 PFESUM1dE r0 GNE AUTHOFITI' TO VIGLA i E OF C.INCEL THE FFOVISIONS OF ANY OTHER <br />9i ;TE CF LOCAL LAW FEGULArING CONSTRUCTION CF THE PEFFCF�dANCE CF CGNSTFUCTiCN. THAT ! AM1f AUiHOFIZED Bl' THE <br />-"; JF THIS PFOPERTV `O FERFOFhf TNE IYCF.K FCF tl'HICH dPPLICATIO�V IS h1ADE AND I CC�dFLY lV1TH 7HC STAic <br />��.,. ;�.TCFSL:7W18.27FClYdNDCPo.000lVAC. <br />!.:�. _ � , . ' ��/ ,• <br />Signature <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTEU <br />5 � r yi <br />Date <br />FEE <br />