Laserfiche WebLink
ELECT�CICAL PERMIT APF�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX 425-257-8857 <br /> 17Z � 2vc,�c �� Av� . Cuzs)339 - <br /> PROJECT ADDRES 33�$ <br /> S�. � � J�el���_ r�z � ���elC�v� lave . C-v�i�'�-ff w� `�52� � <br /> Owner Mail Atldress City State2ip Phone <br /> — j����-]F — <br /> Tena t Mail Address City State2ip Phono <br /> � � OIU �� — <br /> Eleclrical Con�raclor Mail Address Cdy Slate2ip Phone <br /> State License Number Contract Price of Work <br /> �/ ���-L�� , ���. I`-�.��/� � <br /> Proposed Use of Building Contact Person (Plan Rewew) <br /> I L ,, 1'� _ �J�, <br /> Description ol Work to E3e Done: �Ii7� 0�Y1�1�'S ��. �/1/1 I 1 1�'Q�IX.iL � I v w � ���-- <br /> Gu�rL�c � -or- � l' . - . uEru�... I�e <br /> �:n, GN- fh� � ��1n�.C n:(SC � <br /> ,� <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 296-46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS VYILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPf ED ACCESSIBILITY: ELECTRICAL AND COAIMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHI�J ACCESSIBLE SPACES 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 /> EtJVIRONMENTAL AND OTNER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OF 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 TI1E FLOOR. <br /> I HEREBY CEATIFY THAT 1 HAVE READ AND EXAM14WF.� THIS APPLlCATION AND KNOV✓ rHc' SAME TO 6E TRUE AND CORAECL ALL <br /> PFOVISIONS OF LA WS ANO CFOINANCES GOVEFNING i HIS i YPE CP WCRK W/LL 6E COMPLETED WHETHER SPECIFIED HEFEIN OR <br /> N07', THE GFANTING CF A PEFh11T DOES NOT PFESJh1E TO GIVE AUTHOAITY TO VIOLATE OR CANCEL 7HE PFOVISIONS OF ANV OTHER <br /> STATE OR LOCAL L4W FEG l..7TING CONSTRUC710N OA 7HE P<RFC��MANCE OF CONSTRUC710N. THAT I AM AUTHORIZED 8Y THE <br /> Olh'NER OF THIS PROPER , �PERFORh1 rHE ll'OFK FOF INHICH APPLICATION IS M17ADE AND 1 COMPLY W(7H THE StATE <br /> CONTRACTORS LAW 18 27 F�l / D �6.200 WAC. <br /> � � I� <br /> G � ��t FEE <br /> i — <br /> Signal�ce� Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED E C�{p(0 G7>' <br />