Laserfiche WebLink
-- �..0 <br /> t <br /> 11� � <br /> C M <br /> > Htn <br /> y�� � ;� <br /> �e n : <br /> pH 70 <br /> '9 y M j . <br /> �G Z ! <br /> [+1 O � " <br /> r3 <br /> � CITY OF EVERETT DATE�- � - ��, <br /> XM� a <br /> �j H � <br /> C' M y � ELECTRICAI. WIRING PEAMIT APPLICA.T�ON FEE J <br /> y M : <br /> ��y : � . <br /> �+ � aoa a�oxEss �) 2) � l� CtJA7 <br /> x <br /> H O v� 2 TENANT U� /��/i/.. l � l' �U[� I-J/��TS � <br /> '� PROPERTY OWNER �� 5 il "�- <br /> ELECTRICAL CONTRACTOR J-( /�) Y / � C: <br /> i CONTRACTOR'S ADORESS �� j��/ � � l-� `,�� � - L-li�=li ����— ���'��C� � � <br /> + CITY ZIP � <br /> � LICENSE N0. �-I/�/�Li�l I I �l / �1 EXPZRATION DATE � � 2 �� I <br /> � ADMINISTRATOR IL].n�i�� ��1.' cl �, PHONE td0. � ��c -'�.� 1- Y <br /> < <br /> y � te-? <br /> I�-� -��-�� , ' VAI.UE OF WOAK 7 u G " (do not include taxes) <br /> 1 (for commerical work) <br /> J � <br /> i I USE 0£ BUILDZNG A ('7S �L"l' � <br /> 1 � '� � <br /> '_�� •� ,NOTE: WAC 296-4E-140 reqvires that plans for electrical work at educational, <br /> `�l� ,�,� institutional or health care facilities be approved by the State of Washington. I <br /> 9 Applicants with such jobs must show the State approved plans before a City <br /> � of Everett perm:t will be issued. <br /> I . � �� ' NOTE: Wiring in non dwellings is required to be in conduit. I <br /> � ��� , �_I -' WORK TO BE DONE: _ I <br /> . l� 1�1�Nii' l-. '/:� r Qi�l�i�i �- !1 l !!if' l..i liY ��/':ti � <br /> � r, <br /> �� <br /> i <br /> �I� � <br /> _ _ n <br /> � SIGMED: �' ��L - DATE: ��- 4 '�1 r <br />