Laserfiche WebLink
1 � <br />CITY OF EVERETT �' DATC �0 . <br />ELECTRICAL HIRING PERMIT APPLICATION <br />7zy- c c� <br />JOB AODRE55 �. rJ � C�P} a! 1 <br />7'EN�NT fYQY 1'hOn Q�N L��'h'li1 Y o- <br />PROPERTY OWNER _�Q}yy�pN `�r4Soc eT�t <br />ELECTRICAL CONTfNCTOR <br />CONTMCfOR'S nDDRG55 <br />FEE <br />LICENSC 170. �_FL S � F L� �] � C Z GXPTRIITION DnTE ��_ <br />71�MINISTfNTOR /��L Iie lV�Icar. PIIONG NO. S.�i � �lsd � <br />Sav rt l� <br />VN.UE OF WORK (do not include taxes) <br />(Eor commerical work) /� <br />U56 OF llUILDING 7Fh./eorwy SoY✓�ce J-c� �v+. TO i�CkSTYt��1 �J4�%l'rhy <br />NOTE: Wl+C 296-A6-140 requires tliat plans for electrical work at educational, <br />institutional or health care facilitiec be approoed by the State of Washington. <br />npplicants with such jobs muot sliow tl�e State appcoved plans before a Clty <br />of EvereCt pezmit will be issued. <br />NOTE: Wlzing in non dwellings is requiced to be in conduit. <br />WORF: TO HC DONE: <br />1C�Mroor �yJ�� lYIG�nS�J.�c�idnAuQ.Soru:�,OoAGoh,Pkut��Psm,s[Fdar..�1 <br />SIGNGD: ���y�U-G�..� DATE: <br />J/27/9U <br />0 <br />q: � r. `;ii't��'Rt RM!1.}'ii '..ry4t1'.[I,�?��9:¢d [{ ':1 �rl 1.^/'�:;� T�,_'_ <br />.0 <br />