Laserfiche WebLink
ELE.,TRICAL PERMIT �PLICATION <br /> CITY OF �'VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �l �t�C( �t.{ r �l n �il FlC>d rr <br /> PROJEC'f ADDRESS <br /> � � <br /> Owner Mail Address City State2ip Phone <br /> _�-c�k� �1 F �� � < (�6 _.�_� �u� b�,, L�,>., ,F� 5���� F� �-'ssn�ati� <br /> Tenant �dail Address City State/Zip . Phone <br /> �= 3G�,f L--� EF �'i�-ai <br /> -sn s�L-1 �>�N L'� c,,, �5"r, - �, i G r <br /> Eleciri I Coniractor Mail Address Cit/ Stete/'7_ip Phone <br /> ��l-/�h( S S I�I Z L p �j � � `= <br /> State License Number Conlract Pnce of Work <br /> h.1 il,.i .ro U 1""'�f-f C � <br /> Proposed Us of Building Contact Person (F'lan Review) <br /> Description of Work to Be Done: ' y S'� �( � "� �. u � �T•�1' ,�t✓) <br /> l ,!t I� (if �1'Vl a C h ( N C � <br /> NOTE: PLl�NS 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 CITI' OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS Of-FICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS FiE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> W ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE RCUTES OF TRAVEL SIIALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACI_FS AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALON(3 r CCESSIBLE ROUTI_S OI TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF U�AC 51-20�EC. 31GE(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBV CERTIFY THAi I HAl/E READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br /> PROVISIONS OF L4 WS AND ORDINANCES GOVERNING 7HIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRAN7ING OF A PERAIIT DOES NOT PRESUME TO G/VE AUTHOR/TY TO V/OLATE OR CANCEL THE PFOVIS/ONS OF ANY OTHER <br /> STA 7E OF LOCAL LAW REGULA7ING CONSTRUC710N OR THE PEAFOFiMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIIED BY THE <br /> OWNER OF 7HIS PROPEATY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LA{V 1827 RCW AND 296200 WAC. <br /> ���,��2t�r -(7i ��l-fdu�Y� � �/�.2��3 FEE L 3 'r��- <br /> � Signature - � a1e J <br /> �i ✓, <br /> DEBI7&CREDIT CARDS ARE NOT ACCEPTED <br /> �U51� -�yo <br />