Laserfiche WebLink
@ <br /> ELECTeiICAL PERMIT AP�� LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �y;��1 3�� <br /> PROJECTADDRESS 2°� '7/�- <br /> I=.tSr�ziuk��1 .zy.�n 3d' �� �!/a�'cTl w�' 96.1e/ ��-�2 <br /> Ov;ner MailAddress Ciry State2ip Phone � <br /> Tenant Mail Address City State2ip Phone <br /> �/?s � J,S y <br /> ��/1NlJiLIL S � S 3Gv i F[ U�i�lKl/ �� �FUri,�� 6�� 9��oi ziG,� <br /> Electrical Contraclor Mail Address City State/Zip Phone <br /> FL�'L,��,I sS/ yz �.l' _ I, O�6 �` <br /> Stale License Number Contract Price of Work <br /> CG.MoN FIG4C l„�� <br /> Proposed Use of B iilding Coniact Person (Plan Review) <br /> Description of Work to Be Done: /�� � „2 (��,il.�/4[/ j��l x � 2 �(�yi,{f� /�L«'i�j <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE Sl'ATE OF V��,1SHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> F,PPROVED 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 REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BF 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 8E MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51 QO SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CO�JTROL RECEPTACLES AND OTHEF 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 IMCHES ABOVE THE FLOOR. <br /> I HEREHY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFO6'ISIONS OF LAINS AND OROlNANCES GOVEANING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GP.AN'fING OFA PERMIT DOES NOT PRESUME TO G/VE AUTHORITV TO VIOLATE OR CANCEL THE PFOVISIONS OFANY OTHER <br /> STATE JR LOCAL LAW REGULATING CGNSTRUCTION OR THE PERFORMANCE OF CONSTRUCT/ON. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERT✓ TO PERFORM THE WORX FOR WHICH APPLICATION IS MADE A.ND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.207 V✓AC. <br /> — �� G� FEE v � O 2 <br /> � Signat e Date � <br /> DEBIT&CREDI7 CARDS ARE NOT ACCEPTED ,�Gt�(D 3 -�7 S <br />