Laserfiche WebLink
ELEC1 r�ICAL PERMIT APrLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ; <br /> � r� ��� � � ( � f f�T����. � � �. -"��% �/ <br /> PI�OJECT AODRESS <br /> /� �.��:' �� i� 4f� _{..n,� 'i� � i�Gl �,� i7'':.r �viY -�•.v � C_✓i_'. Jy� y� `�'� i�� i�'�- >J/,I' <br /> �'��._ �_ <br /> Owner �' Nail Address Ciry State2ip Phone <br /> Ten�nl Mail Address City Slate2ip Phone <br /> � : . - . . i� � _ <br /> � <br /> l- Sti-t . � � �' �-% {. /� ;;_,,- � , .� :,: � :M1 . �, �;�'r /�'�t, <� �!y !. > 5 <br /> Eleclrical ContraCtor Mail Address Ciry' State2ip Phone <br /> ,� <br /> � �.� <br /> �7 S '�(:( !_� :: 5��. �..L � L c ` — <br /> Stale License Number Coniracl Price of Work <br /> (. �-����, j� /� ,ii — <br /> Proposed Us`e ot Building' Contact Person (Plan Review) <br /> Descriplion oi Work to Be Done: _L ..: �, I , (I L ( '/; _� � f• �-- '-''� {�c f � <br /> � � . <br /> NOTE: PLANS FOR CLECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS I�IUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br /> EDUCA'TIONAL FACILITIES AND ALL HEALTH CARE FACIUTIES PLANS WILL EE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, �v1C OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: E�_ECTRICAL 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 FLOOP. <br /> I IIEAEBY CERTIFY THAT 1 HAVe READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PAOVISIONS OF U1WS AND ORDINANCES GOVERNING THIS rYPE OF WORX WILL BE COMPLcTED WHETHER SPECIFIED HEREIN OF <br /> NOT, THE GRANTING CF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTNER <br />,� STA7E OR LOCAL LAW REGULATING GONSTRUCTION OP. THE PERFORMANCE OF CONSTRUCTIGN. THAT I AM AUTHOFIZED BY THE <br /> OV✓NER OF THIS PROPEArY TO PERFORM THE WORK FOR WHICH APFLfCATION IS MADE AND 1 COMPLY� WITH THE STATe <br /> CONTRACTORS LAW 78.D RCW AND 296200 WAC. <br /> � FEE 113 �C' <br /> ��' �� �. ;� _. (' �';-�'��- - , �� ��` �� �— <br /> � <br /> , , <br /> Signature Date _ <br /> DEBIT&CREDIT CARDS AHE NOT ACCEPTED I � �`+���'(�� cI <br />