Laserfiche WebLink
ELE�TRICAL PERIVIIT �.�pLICATION <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8f310 - FAX 425-257-8857 <br />PROJECT ADDRESS <br />�vI�Cti55 IU1,�7 �l�f�G'c �L� =/�cn'c i'T ln/L7 �7��D`1 �'lts <br />Owner Mail Adtlress City State2ip phone <br />—!Jv✓ll�'/.;� — �� f1� <br />�cs-I i��rs�'cwCti,.�,lc ��Iz7 ',�'� c-✓r'-..i�,'e�� LciA�'�`�oy�yz>)�•�s-i,ey <br />TenaN <br />Mail Address <br />Ciry <br />State2ip <br />Phone <br />n. ��,E`t: ��i �z � ����G w���,,��_; r w�p 9� Z�y(�izs-) �ys �jr� <br />Electrical ConVactor Maii nddress City State2ip phone <br />�l�'�'�� ��k.�y�s-�is--� ��� <br />State License Number <br />��il^-r� <br />Praposed Use of Building <br />Contracl Price of Work <br />Contact Person (Plan Review) <br />Description ot Wark to Be Done: A ��C,(� l Lc��•' `+�� ly�l�X L��O ,��vIP 7�N�� [_ �f1i4 5 c <br />�� 7 7 <br />! F�F' /�'� 5� c' � ,qi��r� /C'�itrL L ., <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUSl BE <br />APPROVED BY THE STATE OF WASHIIJGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL 07HEFi <br />EDUCATIONAL FACILITIES AND ALL HEALTH CAFiE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWA'fS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIOMS SYSTEM RECEPTACLES ON WALLS <br />WITfiIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTE� A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(cj2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPP�IENT 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 3G INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY rHAT 1 HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAM11E TO BE TpUE AND CORFECT. ALL <br />PFOVISIONS OF U1V✓S AND ORDINANCES GOVEANING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HERc'IN OR <br />NOT, iHE GRAN7ING OF A PEFMIT DOES NOT PRESUA4E TO GIVE AUTHORITY TO VIOL7TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUC710N OR i HE PEFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZcO BY THE <br />OWNER OF r�+is PROPERTY 2'O PERFORM THE WORK FOR WHICH APPLICA7ION IS tifADc AND 1 COMPLY W77H THE SiATE <br />CONTRACTOFS LAW 78.27 RCW AND 296.200 WAC. <br />Signature <br />� <br />� <br />Date � <br />�� - �� FEE <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED ��, 3( Z,p 3 S � _` <br />