Laserfiche WebLink
ELECI riICAL PERMIT APr�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />1�13Z_ �1�nS� 5.���. L�t l ��v � <br />PROJECT ADDRESS <br />C o�C� CY t C K <br />Owner <br />Tenent <br />Mail Address <br />� Meil Addres9 <br />�C l L <br />tlectncal Gan�radcr Mail Address <br />`�.nn�L r.- � n � ��� 4 <br />Stale License Numb r <br />�F i� <br />Proposed Use ol Bullding <br />Description ol Nork to Be Done: <br />Ciry <br />City <br />Ciry <br />State2lp <br />Stete2ip <br />Slate2ip <br />c�� d-" <br />Con ract Price ol Work <br />Contacl Person (Plan Review) <br />Pfwne <br />Fhune <br />Phona <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUND:i MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW ��HE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46•140. F�LL OTHER <br />EDUCATIONAL FAC;ILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED 3� THIS O�=FICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES CN WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEI. SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c�2. <br />ENVIRONMENTAL AND OTHER CONTRC�L RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN TH"c REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I NEREBI' CERTIFY THHT I HAVE READ AND EXAAIINED THIS APPLICAiION AND KNOW THE SAME i0 BE TRUE AND CORfiECT ALL <br />PqOVIS10NS OF LAWS AND ORDINANCF.S GOVEFNING THIS TYPE OF WURK WILL BE COMPlETEO WHETMER SPFCIFIED HEREM� Of7 <br />NOT, 7HE GFANT/NG OF A PERMI7 00ES NOf PFFSUME TO GIVE AUTHOq17Y TO VIOLA7E OR CANCEL THE PROVISIONS OF AIJY 07HER <br />57ATE OR LOCAL LAIN REGULA7ING CONfiTRUC710N OR THE °ERFOqMANCE OF CONSTRUCTION. THA7 I AM AUTHORIZED BY TNE <br />OWMER OF THIS PROPERTY TO PERFOFh4 THE WORK FOR WHICH APPUCATION IS MADE AND I COMPLY WITH THE S7ATE <br />CONTRACTORS LAW �8 2i RCW AND ?96 200 IVAC. <br />= 1,�..�. 'L�.�z _ <�-�y�c3 <br />Signalure <br />Date <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED E03GYp -0�3 <br />FEE <br />