Laserfiche WebLink
� <br />PERMIT APP�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�. S/S sUMM/T /�v,c <br />PROJECT ADDRESS <br />,Tu,;T s?✓r'� c�n�s�_ po ,Box zoy3 ,�u•cuR 98L03 Cy�si3es-3✓ry <br />owner <br />Tenant <br />Mail Address <br />Mail Atldress <br />City <br />City <br />State2ip <br />State2ip <br />Plwne <br />Phone <br />�.1 `(� I'NTY �L��TR!L Co �IJ C <br />Electrica� Contracto Mail Addrass �iry S�te2ip P�e <br />f�i l- b I 1�/ � C. D 0 3►�/ T' <br />State Licenso Number <br />S F'K <br />Proposed Use of Building <br />Contract Pnce o1 Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: l.0 1 i�� A/,E/,lf $1�pt� 20 �/}�yp �H �L�� <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 EVERETf PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES UN 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 EOUIPMENT 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 />! HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br />P�^OVlSIONS OF LqWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERM1IIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br />STATE OR LOCAL LAW qEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNfR OF THIS PROPERTY TO PERFORM THE INORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />Signature <br />ELECAP�REV 8/2001) <br />— %-0� FEE�'�s� <br />Date <br />Eof�-odFl <br />