Laserfiche WebLink
� � � DATE ��"�7 ��� <br /> CITY OF EVERETT <br /> FEE <br /> gLECTgICAI. WIRING PERMIT APPLICATION <br /> JOD ADDRESS 7 YU � Y�'w�✓ ��✓/ v '� <br /> TENANT �/J <br /> �) PROPERTY OWNER ` ' " , � . <br /> � ELECTRICA� CONTRACTOR <br /> �C 6'l U3 S 5 i.� L'�-e�' « <br /> '��d � �•�.� 5��-� � �r�.-� y'�z-o / <br /> i� <br /> CONTRACTOR'S ADDPESS �ITy ZIP <br /> �� LICENSE NO. /L„�s s��/J J � ` EXPTRATION DATE � � � � <br /> , ADMINISTRATOR �O� � ✓�' �-ss� � PHONE N0. � � 7 ' �� � <br /> f VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> ,n �_ <br /> USE OF BUZLDING ��� S� �I'�NL�� <br /> NOTE: WAC 296-46-140 requires that plans Lor electrical work at educational, <br /> institutional or health care facilities be approved by the State of Washington. <br /> Applicants with such jobs must show the State approved plans before a City <br /> � of Everett permit will be issued. <br /> NOTE: Wiring in non dwellings� is required to be in conduit. <br /> t, WORK TO BE DONE: <br /> �� p�l�U �9 ��P/✓!�/[�P� i:�7✓Gl� <br /> i <br /> i <br /> SIGNED: <br /> �(A/ 1�2'L+'h�v DATE: /O` �I J_ �/ <br /> . 3/27/90 �c--���j / <br /> �� <br />