Laserfiche WebLink
CITY OF EVERET7 <br />EIECTRICAL NIRING PEAMIT APPLICATION <br />JOB ADDRESS /��Q/ ,�/ ��.� <br />TENANT <br />PRCPERTY OWPER '� ,. , <br />ELECTRICAL CONTRACTOR �rv f.n•: <br />DATc• �£.PT �iS' ;'%�'� <br />Fc`c, <br />�,:, � � �,�.. ��. ��; , <br />ELEC. CONTRACTOR'S MAILING AD�RE=3 2��3 T'vrn.H.a A��,F SD <br />LiCENSE NOr-SrY E ZT' yG l Q.4 EXF?RA?i0N DATE __� f 30 ��% D <br />ADMINISTRATCR � e �p.h (�rL'i s s%e r PHONE N0. , <br />VI�LUE OF WORK �, � . , . — <br />- (Co not include taxes) <br />(fcr commercia work <br />USE CF BUILDING <br />NOTE: WAC 296-A6-140 reouires that plans `or electrical work at educational, <br />institutional or health care facilitfes be approveC by the State of <br />Washington. Applicants with such jobs rust show the State-aoproved plans <br />before a Cit; cf Everett permit will be issued. <br />WORK TO BE DOAE: <br />�_.� 1 �� , i <br />4�� I, t/ I r r 1�.. <br />,. �� � <br />_—�` � <br />DA7E <br />