Laserfiche WebLink
ELErTRICAL PERMIT /�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-0857 <br /> %i y` y �� �� ��� s � /Q��S � ��� 3 <br /> PROJECT ADURESS s�/� <br /> �g�e;,��.e Sfu.,� �� ��Jt /�S 5 �����M,, � c��- 98asr �/�S-33y-�R� <br /> Owner Mail Address City State2ip Phone <br /> � <br /> Tenant Mail Address City State2ip Phone <br /> f�SS� c:'u��Q�lr��'r� �J. c�c�Jt �a'�J S«`L�,�,• l: �� S�J-9� �13'.�JS�(f's'1' <br /> Electrical Contractor Mail Address Ciry State2lp Phc-�e <br /> 9 �� <br /> s � oc c� �sa��� 85 <br /> State License Number Contract Price of Work <br /> C�V�1�.t ��7i4� � <br /> Proposed Us ofBuilding Contact Person (Plan Review) <br /> Description of Work to Be Done: l�" �OJ ,+Q � �jq„i..� � �J ',p{ �J 1 �— 1(.� �f�—C� <br /> /,��:: f. � � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY TH� STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERR4IT 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 REQUIRED TO BE IN RACEWAYS, MC OR AC CP3LE. <br /> HANDICAPPED ACCESSIBIUTY: ELECTRICAL AND COMMUNICATIONS SYSTENi 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 /> l HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL/CATION AND KNCW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVIS/ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRRNTING OF A PERM/T DOES NOT PRESUME TO GIVE AUTHORITY TO V/OLATE OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTqUCTION. THAT I AM A'JTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEpFORM THE WORX FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTflACTORS LAW 1 B27 RCW AND 296.200 WAC. � <br /> � /.z- v s=v � FEE <br /> ignaWre Date <br /> DEBIT&CREDI7 CARDS ARE NOT ACCEPTED E(�3/a-po2� <br />