Laserfiche WebLink
ELE�;TRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-885� <br /> �,�`� � ��`� L't^, \tJ�e.d?�— <br /> PROJECT ADDRESS <br /> �L ��,.�v'�e �2 <br /> Owner Mail Address Ciry State2ip Phone <br /> Ter.ant Mail Addrass Cily State2ip Phone <br /> �`�M �L� 4-���c 2�16 IprNrs�- E�i-F, ln�f�- 9��1 26"rL-�yo� <br /> Electrical Contractor Mail Address City Slate2ip Phone <br /> I<�v1rL�c-�'o`i 6J1- ���.`� <br /> State License Number Contract Price of Work <br /> 5�=� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: WO n1"^� �� ���L�' Iv �u1 ��r�� �F' "�-u.�\ ly � <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 PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> iOF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTH�R OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBL.E SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE P�tOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 IhCHES ABOVE THE FLOOR. I <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAM1fINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL � <br /> PFOVISIONS OF LAWS ANO OFDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR ' <br /> NOT, THE GFANTING CF A PERMIT DOES NOT PRESUMc TO GIVE AUTHORITY TO VIOUITE OR CANCEL THE PROVfSIONS OF ANY OTHER , <br /> STATE OR LOG4L U7V✓REGULATING CONSTflUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE ' <br /> OWNER OF TN.IS PHOPERTY TO PERFORM THE WORK FOF WHICH APPLICATICN IS MADE AND I COMPLY V✓ITH THE STATE I <br /> CONTRACTORS LAW 18.27 FCW AND 296.200 WAC. <br /> �L�-L..CwQ C� 1t�-i`— I Z`�Z'Y)� FEE <br /> SignaWra Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED E a3 ia-os � <br />