Laserfiche WebLink
CITY OF CVERETT '� "� DATE O �y ��G <br /> ELECTAICAL WIAING PERMIT APPLICaTION FEE �r�� <br /> JOB ADDRE55 __� � �([I � L.�'' '"% � '�Y'�¢�" � <br /> TENANT <br /> YROPEATY OWNER _ . /G�(7/� (/J�/,(iTl�' <br /> ELECTRICAL CONTRACTO�/�S/nJ �,(�.L J�j/c c, <br /> CONTRA..._.. S ADDRESS � �D,S �NC� �I{Y�� , �V; ���J� <br /> CITY ZIP <br /> LICLNSE NO. �NU7 ��jJ �-�-C/ EXPIAATION DATE /�-.��—� � <br /> ADMINISTRATOR `�/ ( ✓(�ll�-_ . PHONE N0. _ 5��� �35/ ' <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF HUILDING ,/./�5 [ �,I�✓C� , <br /> NOTEe WAC 296-46-]40 requires that plans for elPctrical work at educational, <br /> institutional or health care facilities be approved by t}:e State of Washington. <br /> Applicants with such jobs must show the State approved plans before a City <br /> of Everett pezmit will be issued. <br /> NOTEs Wirinq in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> �0� /� L � .S�-✓v/c,.e� � <br /> SIGNED: _� 1 (i�I/L v�--ti-t.�, DATE: F� �� 7 O j <br /> ! <br /> i <br /> 3/27!90 <br />