30 76TH PL SW 2016-01-01 MF Import

APPLICAqrION FOR ELECTRICAL PERMIT i CITY OF EVERETT BUILDING DIVISION 3200 CEDAR STREET EVERETT, WA 98201 PHONE: (425)257.8810 4a77- FAX (425)257-8857 30 - 7& t4 PROJECT ADDRESS ?hetm� �eA/Sr SyiaLia�u �+ � Q. Owner Mail Address City State/Zip Phone Tenant Mail Address City State/Zip Phone Electrical Contractor Mail Address Cay State/Zip Phone HA w1.LieyL ` - 1 -2°l t ?.O( o itfil. State License Number Contract Price of Work ►2_jS r bta1,�r_2. Proposed Use of Building Contact Person (Plan Review) Description of Work to Be Done: ( ZS /,, -&& 2 XS 1.1 .� l qsa . 2E51 D NGS IJOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CIYY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER EDUCATIONAL cACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. NOTE: WIR'NG IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM OF 15 INCHES ABOVE THE FLOOR. WAC 51.20 SEC. 3106(c)2. ENVIRONMENTAL .AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH RANGES OF WAC 51-20 SEC. 3106(b)4 E & F .AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. &A�� o(nS-asp-{ FEE Signature Date