Laserfiche WebLink
CITY OF EVERETT <br />DATE '✓II� I7�-� <br />ELECTRICAL WIRING PERMIT APPLICATION FEE �'� OG <br />Jos r.n�xEss 1��iZ1 ��til FuP.�e�l:�l-, !�•1ri11 �nlCz��� (�I C"a�i <br />TENANT �,1 � v c' C��, rd<-v�C �l�ic��k.�.Li �-u-,� <br />PROPERTY OWNER �lLI'�'�� <br />ELECTRICAL CONTRACTOR iv ' G'l I�cV1� '.v' l� 11 �� (l �". � ��1C, � T,YI �� • — <br />CONTRACTOR' S ADDRESS �7 ;�� n� r-' i2 �� `� Sl Sl l l.�C� I S�C-I-T �. ��%<`S � C�J <br />CITY ZIP <br />LICENSE N0. �yJ�[_gT.T� ,�7, \(� _ EXPTRATION DATE � �l3I J� I <br />ADMINISTRATOR . F. Yl K(�`T � PHONE NO. ,�,y�� -3534 <br />VALUE OF WORK 1� �CJ�'�� (do not inr,lude taxes) <br />(for commer.ical work) <br />OSE OF BUILDING 1'�(''�i��l,�,L( C��1"�'I� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of Washington. <br />Applicants with such jcbs must show the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwelli��gs is required to be in conduit. <br />WORK TO BE DONE: <br />`4'%1 �.r n��� � C;.if l,U I r � Y� � - , c.� � a � T A <br />STGNED: ��lU�C1 cri'ICZ.00S� }1� <br />�� <br />3/27 90 <br />DATE: l�' (C. ��(�� <br />