Laserfiche WebLink
e"! <br />/7 <br />`- �`� O, %'/ <br />c: <br />aH�n <br />CITY OF EVERLTTI DAII <br />y <br />35.00 <br />'< H � <br />ELECTPICAL h1kiNG PERMIT APPLICATION ��� : <br />0=0 <br />)�. <br />M 0 <br />v •�CCFj� <. <br />.LL� <br />.JOB ADDRES,� �v. 7c�* <br />OH <br />_.�0 <br />0. 0q <br />TENANT <br />zyS <br />yy <br />PItUFEltTS ut<'CPIr- <br />[.� �Q <br />ELECTRICAL CONTRACTOR �1Ai� �..t�("!!lQ-G•'I.LC, <br />Ond <br />CONTRACTOP'S MAILING ADDRESS- <br />q ti <br />Lau -d"- X'4 - <br />z <br />H O CA <br />_ //�� _ �i ^ <br />LICENSE .10 IyTt 1;_'.l.,oS; c�'..Z EXPIRATION DATE <br />ADMINISTRATOR,,l(, ( (1.C/C�-_ PHONE !! <br />VALUE, OF WORK _ j/ ( DO NOT INCLUDE TAXI .'-S ) <br />(FOR COMMERCIAL WOVi <br />USE OF ItU]LDINGS�t <br />NOTE: RAC 19(,-46-140 REOI;Ikl4S THAT I'LAti;: !uk LLFCTRICAL WORK Al <br />'� ^► <br />EDUCATIONAL INSTITUTIONAL OR HEALTH CARE FACILITIES BE <br />APPROVED By THE STATE OF WASIIIN,;TON. APPLICANTS WITH <br />SUCH .JOBS MUST SIIf)W THE ::T'ATI-:1PPPOVI.D PLANS BEFORE <br />„mow <br />A C11'Y 01 EFFR,1.!'i PLFti1TWILL III <br />PONI <br />w C <br />Q Z3 <br />::;IGNEI>cy,/l!PATE( (�j(. ._ J_Nell <br />