Laserfiche WebLink
i <br /> � ���� <br /> DATE 3 y�' <br /> CITY OF EVERETT <br /> � n FEE <br /> � <br /> � � � SLECTRIGV. WIRING PERIdIT APPLICATION <br /> A C <br /> t+ y{y� n JOB ADDRESS (�c<�r �v�. <br /> H 9C 1�-' <br /> K H � TENANT <br /> O tt O <br /> �C r� �tl <br /> �, � z � - PROPERTY OWNER 1 E�' <br /> � O � �7 � ELECTRICAL CONTRACTOR <br /> HtnqR <br /> ¢y M � CGNTRACTOR'S ADDRE55 CZTY ZIP <br /> t� y <br /> � t~n y EXPSRATION DATE � <br /> � N LICENSH N0. � <br /> � y N ADMINISTRATOR PHONE N0. <br /> O N <br /> VALUE OF WORK / Sa�°'� _ (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING 2�^`�� . <br /> � NOTE: S4AC 296-46-140 requires that plans £or electrical work at educational, <br /> institutional or health care facili::ies be approved by the State of S4ashington. <br /> � Applicants with such jobs must show the State approved plans before a City <br /> of Everetc permit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> � <br /> � ��. <br /> �90RK TO HE DONE: <br /> 1 � � . � , �i'�' <br /> � `�' � �/ P � . <br /> �� ld..t C,r�.cc Nr.✓ ��n r ir' �+�.�n o <br /> C <br /> + �� <br /> �I� <br /> � � - _ DATE: �1� ZI��D <br /> � SIGNBD: L — <br /> J <br /> ���_ <br /> ��' � j <br /> � � • � � � �t'• <br /> �� i=, 3/27/90 . . . � � . , �. <br />