Laserfiche WebLink
ELEC�ICAL PERMIT APr'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ;���c! ia✓AvF v2rv� Fv�i�c,7 w�9 98�03 y�yo3 <br /> PROJECT ADDRESS <br /> S1�VE � TH�IE r"K�w�QD 3yo� �'lu,�iuzo G�rD ��� t� yzs-siy—o�/� <br /> Owner Mail ACdress Ciry Stete2ip Phone <br /> T@nent � Mail Addre55 Ciry Stete/Zip Phone <br /> S/M an/ S,�fJL✓.913 �oTffl�-�- t v9 %7_S"-S�S F! -o�/7�7 <br /> Electrical Contractor Meit Address Ciry Sta�elZip Phone <br /> D}�NEi'v <br /> Stale License Number Contract Price of W ork <br /> l� �5/PeCTIT�/`IL� <br /> Proposed Use of Building �ontact Person (Plan Review) <br /> Descnption of Work ro Be Done: �L/Lf � r�57 Dr�C� <br /> NOTE: PLANS FOR ELECTRICAL V1.ORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS 1AUS7 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 W IlL BE RE�IEW ED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS,MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN 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 /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF WAC SE 20 SEC.�N 6(b 4CE& F1 ANDR OT L SS THAN 36LINCHES ABO EUTHE�OOR�N THE REACH <br /> I NEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br /> PROVISIONS (�F LAWS AND ORDINANCES GOVERNlNG TH�S TYPE OF WOFK WILL BE COMPLETED WMETHEA SPECIFIED MEHEIN OR <br /> A'OT, THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE�1UTNORITY TO V101.:7TE OR CANCFL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L4 W F7EGULA7ING CONSTFUCTlON OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOflIZEO BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM TNE WORK FOR WHICM APPLICATlON IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> /�' �� FEE <br /> �-�i �i /� � � ^C� /��lL- <br /> Signature Da�e <br /> ELECAP(HEV82001) C��O L -O�� <br />