Laserfiche WebLink
ELEC <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Elecvical Contractor <br />State License Number <br />S�� <br />Proposed Use of Building <br />RICAL PERMIT A�r�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9fi201 <br />425-257-8810 - FAX 425-257-8857 <br />Description of Work to Be Done: <br />Mail Address <br />Mail Address <br />Mail Address <br />City <br />City <br />Ci�y <br />S% <br />State2ip <br />State/Zip <br />State2ip <br />Contrect Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Phone <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 />EDUCATIONAL FACIUTIE�S AND ALL �HEALTH CARE FACILITI SI PLANS WSLL BE REV EWED BY THIS OFFI ETHER <br />NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO BE IN RACEWAYS, MC OR AC �ABLE. <br />HANDICAPPED ACCESSI8ILITY: ELECTAICAL AND COMMUNICATIONS SYSTEM RECEPTACLES CN WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG .4CCESSIBLE ROUTES OF TRAVEL SHNLL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL A�D OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT 1NITHIN <br />RANGEB OF WAC 5E 20 SEC.�N 6(b)4CE & FI ANDR OUT L S9 THAN 36LINCHES ABOV�EUTHE �LOOR IN THE REACH <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />prv:!SIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF WORK WL <br />NOT, THE QRANTING OF A PEf7Ml7 DOES NOT PRESUME TO GIVE AUTHORITY TO � <br />STATE OR LQCAL LAW REGULATING CONSTFUCTION OR THE PERFORMANCE C <br />OWNEA OF 1415 PFOPERTY TO PERFORM17 THE WORK FOA WHICH APPLIC <br />CONTRACTOR:� LAW 18.27 FCW AND 296200 WAC. <br />�L y ;, r 0 � <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED ��3� ��9 <br />THE SAME TO BE TRUE AND COFFECT. ALL <br />:OMPLETED WHETHER SPECIFIED HEREIN OR <br />= OF CANCEL THE PFOVISIONS OF ANY OTHER <br />SSRMADE ANDHACOMPLYUWITHIZTHE STATE <br />FEE <br />