|
�,
<br />CITY OF EVERETT
<br />ELECTAICN, WIItING PE(iMiT APPLICIITION
<br />� 2 9� /
<br />JOB ADDRE58 �
<br />TENANT
<br />PROPERTY OWNER
<br />ELECTRICN. CONT
<br />CONTRIICTOR'S AbDt1ESS
<br />LICENSE NO.
<br />f_
<br />d
<br />�!.��:'';.� I,'
<br />,,,,i� ", �, ;;
<br />� ���i�'���
<br />, . ,u; ., d�,
<br />�;;,1���;��s:,� ;
<br />i�.�:(�yj
<br />•�il�l,:{'§i�'� .
<br />y.�
<br />� �;�i �t,� ',i�:
<br />' -'i:;j�4?'fi:��'
<br />,,. ; ,
<br />1;, ��� � 1:.,, : ,
<br />'.il �,�., �
<br />,�'•J'1
<br />t�':.;��;I�:i
<br />� '. �: .,
<br />, � i
<br />11'j I'',
<br />� ;;�� :,i
<br />p 't , I
<br />�,;1(„ ,
<br />�: ,�f.�� �.
<br />,�: I.,
<br />.
<br />i: 7 '
<br />���,'��,;, '
<br />..'i.'! `,.i..
<br />� � ;:
<br />3 �7 7-7 . S 9��� � ., �_ .
<br />• CITY SIP ., � .
<br />ERPP[UITION DATE ' ; ;
<br />, , .
<br />�" i
<br />ADMINISTR7ITOR PIIONE NO. (fl 2 3^ 3�fj(p '' !. '
<br />. i: :
<br />VALU6 OF WOItK (do not include taxea) �'
<br />(Eor commerical wozk),. ��;
<br />�
<br />USB OF BUILDINC
<br />NOTEa HAC 296-46-140 requirea tl�at plane for electrical work at educational,
<br />• institutional or health care facilities be approved by 6he State oF Naahington.:,�;:'�' �
<br />ApplicanEe wiEh auch joba must sBow the State approved plans before a City ;:ii.�j.i.`i.r'�
<br />of Everett permit will be isaued. ,
<br />. r' �
<br />'' : .
<br />NOTEi Wiring in non dwellinga ia rr_quired to 6e in cohduit. i
<br />,' '
<br />;.:.'.
<br />WOAK TO 6E DONEs
<br />C � �'� 1
<br />� �'���1 ��r���L ' ��.II. ,
<br />�,�;� t,:
<br />�,.�
<br />���';���Ii .: �
<br />:� , �
<br />. . ,,..i.r�. .
<br />L .
<br />. . � �
<br />. , M � �: :' i ' ..
<br />. I.11�,•',:.�l� � .
<br />11 '.
<br />SICNEDt DATEt ' ' - .
<br />i
<br />� ..•� ���. � •
<br />. ;: � "
<br />y..
<br />
|