Laserfiche WebLink
� ELECT'�ICAL PERMIT AP�LICATlON <br /> CITY OF EVERETT PERMIT SERVICES <br /> .�rr 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �� v 9 s./�r �. ,l� kr /2.� <br /> PROJECT ADDRESS / <br /> � �A /i9 1tnTK�-,ar/srK <br /> Owner Mail Address <br /> Ciry Slate/Zip Phone <br /> TeneN � Mail Adtlress pRy Ste�e2iP Phone <br /> /V�r��S h 1 iX-�/�`� l� f���n 9.5�=/ /�t r ���" `j p'/n�i�6 �J (/fQ <br /> Electncal Contractor Maii nddress C�ty Stete2i z � <br /> 11�urT.�/� v S�5/ rY� YL P .�G� GPS9 Ys>� <br /> State License Number Cantrect Price of Work <br /> Proposed Use of Euilding Cantact Person (Plen Heview) <br /> Descriptian of W ork to Be Done: '�� M yi �p���p�Y <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIQNAL, 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 WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED 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 /> 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 /> 1 HEREBY CERTIFY THA7/ HAVE READ AND EXAM/NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT. ALL <br /> PFOVISIONS OF LA1NS AND CRDINANCES GO✓ERNlNG THIS TYPE OF WORK W/LL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, rHE GPANTlNG OF A PERMIT DOES NOT PRESUME TO GlVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L4W REGUTAT/NG CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPER7Y TO PERFOFM THE WORK FOR WHICH APPLICATlON IS MADE AND I COMPLY Wf':M THE STATE <br /> CON7RACTORS L4W 18.27 FCW AND 296200 WAC. <br /> �,._ �� Di G��"y�p_3 FEE <br /> .' � _— <br /> Signature �e <br /> ELECAP(REV&'200t) �. O�D� �� <br />