Laserfiche WebLink
ELECT II ACAL PERMIT API- I6.ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />n jo 4 / `%rk S� - <br />PROJECT ADDRESS <br />0 7/ <br />Owner d r Mail Aess City State/Zip Phone <br />Tenant <br />Mail Address <br />city <br />State/Zip Phone <br />ses 6 q 14<t �e ct <br />yor,? Saa(LhA-v2 <br />5C., <br />w,"y .9g�o1 <br />Electrical Contractor <br />Mail Address <br />city <br />State/Zip Phone <br />SE-7 <br />State License Number <br />k P_ c <br />Proposed Use of Building <br />Description of Work to Be Done: <br />/ L t <br />'ice a .:=�--'------ <br />'41'/}/o /on <br />Contract Price of Work <br />Contact Person (Plan Review) <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 PNS BEFORE CITY OF EVERETT PERITBE ISSUED. WAC 296-46-140. ALL <br />EDUCATIONAL FACILIITIESS AND ALL HEALTH CARE FACILITI SI PLANS WILL BE REVIEWED BY THIS OFFI OE. <br />THER <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 />WI 1N ACCESSIBLE ES OR ALONG <br />51SEC. <br />ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />5INCHES ABOVE THE OR. WAC <br />ENVIRONMENTAL AND"OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIP"ENT WITHIN <br />ACCESSIBLE RANGES OF WAC 5ES OR 20 SEC.031, 6(b)4CE & FIBLE ANDRNOOT LESS THAN 36UTES OF LSHALL BE INCHES ABOVOUNTED E THE FLOOR.It I THE REACH <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH AFPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1627 RCW AND 296.200 WAC. <br />f -Oi FEE <br />% Sr.Oa <br />Signature Date <br />�0109-014 <br />ELECAPIREV E'2001I <br />