Laserfiche WebLink
ELECT�YICAL PERMIT AP� �lCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�<� ��j ,� �•i �, f�ti � : �_✓�„'�� � .�'t"�� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />City <br />State2ip <br />Slate2ip <br />7 �I -c.� � <br />Phone <br />Phone <br />�-�cc�-�c�C_s�� �"._�ei�-a�[� �)t,'>���((;��f7-��.'�.� �>�-i.-.�v-�....�.+5(.. �-��•��%�7-�/C� 7i'�'�"�L7%Gr <br />Eleclrical CoNraclor Mail Address Ciry Slate2ip Phone <br />� l7`I P)G�i <br />State License Number Contract Price ot Work <br />Proposed Use af Building <br />0 <br />Description of Work to Be Done: <br />Conlact Person (Plan <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIcS 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 W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 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. 310E(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(t�)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREE � CERTIFY THAT I HAVE READ AND EXAM1IINED THIS APPLICA710N ANO ICNOW THE SAME TO BE TRUE AND CORFECL ALL <br />PROVIS�JNS OF l.;1WS AND OADINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOqITY TO VIOLATE OR CANGEL THE PROVISIONS OFANY OTHER <br />STATE OR LOCAL LAW REGUL1TING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br />OWNER OF THIS PROPERTY TO PERFORh1 THE WORK FOR WHICH APPLICATION /S MADE AND 1 COMPLY WlTH THE STATe <br />CONTRACTOAS L7lh' 78.27 RCW AND 296.200 WAC. <br />Signa�ure <br />�F / FEc ' �' c"�G <br />'� -�( C��- �� � ; '- — <br />Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED � �'�IuG - l/�/ <br />