Laserfiche WebLink
-,� <br /> � <br /> � I <br /> � �� � <br /> .C �i CITY OF EVEAETT ;, � �'F <br /> ��a� nnTe 3 q <br /> 4e �E�T��L WIAING PERMIT AppLICATION FEE a�Y`3.�p � <br /> pyyy�zp <br /> 'il y'il : JOB ADDP-�55 � .3 r10 .3 C✓ /J J �.t/o �d - 'rC O C � ��Z I I <br /> � �p� TENANT � <br /> Hd � <br /> OH <br /> Q�� � PROPERTY OWNER �a e� i.✓G CG <br /> z H - FLF,CTRICAL CONiAACTOR- �uttnfl El�c-Fr�ic- Cn �nr <br /> � H <br /> M . CONTRF�CTOR'S ADDRESS lnl'.S Rl��` �Z�P} S <br /> � �� �..� E.X-rnN- �.Z203 <br /> = C�ZTY—f 2IP <br /> LICF.NSE N0. �,.��--�o�Ca3�P3 .�4(��9� <br /> y EXPTRATION DAT& i <br /> H O N ADMLNISTRATOR ��r (�'r�rSt-�rl <br /> PHONE xo. 3y�-i�� <br /> � VAI,UE OF WORK / r}'' � [d 7 (do not include taxes) <br /> (for commezical work) � <br /> USE OF BUILDING - �,(�-w T NE r<n C <br /> NOTE: WAC 296-46-140 requires that plana for electrical work at educational, <br /> inatitutional or health caze facilities he approved by the State of Washington. <br /> Applicants with such joba must show the State approved plans before a City ' <br /> of Everett pezmit will be issued. <br /> __� NOTE: Wirinq in non dwellings is requized to be in condcit. <br /> �'� . <br /> ' WQRIC TO BE DONE� <br /> i <br /> � <br /> C�i ' <br /> , <br /> � -- <br /> � !�I_� <br /> SIGNED: ��l n r, � ' � � I J I/� l I � i i i /1 �' DATE: � I ' / <br /> } <br /> � l�I�1 <br /> �� 3/27/90 � . . <br />