Laserfiche WebLink
ELECTr,lCAL pIERMIT APF-LiCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />__ �(o � � lC3 ��e �Jea.-i (�o�I- 3 <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />�ieccncai comrac[or Mail Address <br />/Cn���i c � 01 � -� 1 <br />State License Number <br />S� <br />Proposed Use of Building <br />Description of Work to Be Done: <br />City <br />City <br />City <br />State/Zip <br />State2ip <br />W� <br />State2ip <br />/cx� o. s° <br />Coniract Price of Work <br />Contac� Person (Plan Review) <br />Phone <br />Phono <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 />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 BY THIS OFFICE. <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 />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 />ACCESSI6LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES O! WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEAEBY CERTIF'/ THAT I HAVE READ AND EXAMINED THIS APPLICATION AND XNUI�I' THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OF <br />NOT, THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANGEL THE PROV/SIOPJS OF ANY OTHER <br />STATE OF LOCAL LAW REGULAT/NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCT/ON. THAT ! AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATlON IS h1ADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 FCDV AiJD 290.200 WAC. <br />��t---I...,,(' LVpS'i �—(l-b� FEE <br />Signature Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED �G�C �'dj � <br />