Laserfiche WebLink
����, � <br /> � <br /> � <br /> �,�„m, � "=`� <br /> p9 � 7 <br /> . .. ., . i .�or._.... ... .. ... . . . � . .... ._.,..... ...n. .�r� :n>...�.:l..s.. ..,. . .. . ..... . .. . . _ ..._u�...�. . � <br /> �_ �'� /�"� • � <br /> CITY OF EVERETT ;`. DATE y-i� -9/ <br /> �.. <br /> ELECTRYCAL RIRING PERMIT APPLICATION . . . FEE � �G '� <br /> JOS ADDAESS . ` L�lo/��PPS Y� �1/N . <br /> ��� TENANT _�Po f-�/�/J� ! D ii/n/<P�l7 ' . <br /> � H �— � � <br /> x <br /> y y PROPERTY�OWNER � P ,` / OGJ N���- <br /> H �3 ELECTRICAL CONTAACTOR (};�����/i/Ij)�/p��/� � -_ �� <br /> � y^ro CONTRACTOR'S ADDRESS L��a Q�I rf�QP��i/P �� ��iN <br /> � y� CITY ZIP <br /> x `� LICENSE NO. � m � i <br /> H <br /> py p� . . . � EXPTRATION DA.E. <br /> H <br /> ADMINIST.RATOR PHONE NO. <br /> H/� �g . <br /> r.Y �C <br /> x N� � VALUE OF WORK (do not include taxes) <br /> y y (for comoerical wosk) <br /> � / I <br /> C yH USE OF BUILCrING _ /'j('j(l� � S�/�- __ f <br /> ��y <br /> �+ NOTE: 4!F.0 296-46-140 requixes that plans for electrical work at educer.ional, '.; <br /> yinstitutional or health caze facilities.be approved by the State of xant.ir.�i. ;�. ! <br /> y �y Applican.ts with such jobs must show the State approved plans before a Ci*.y ' i <br /> - of Everett permit will be issued. <br /> . � <br /> HOTE: Wiring in non daellings is required to be in conduit. '�� <br /> WORK TO BE DO!'E: �I'+-� /o-r �`�� �`�""` <br /> ''� �� •_�(ZG i�ii' P /,/�%�iIo , �(/P c�i�� ftJP .�1Y�7�F ,� ! <br /> ,� � • , IJ i <br /> � � . , a <br /> _ � _ � , . �L <br /> �"' �' i �lrr� ' �'n�,i� .�� n�e /�c� �,P � <br /> w� � <br /> ' <br /> a� �/ ! <br /> SIGNED: � i/�}fiJyJJJ Drv� DATE: �j/l�/j�'/ <br /> ��� <br /> '_ . <br /> �� <br /> 3/27/90 ' . <br /> � ' <br /> I <br /> ( <br /> � <br /> I <br />