Laserfiche WebLink
y--A 1 <br />CITY OF EVERETT 1, <br />DATE <br />ELECTRICAL WIRING PERMIT APPLICATION FEE_ <br />JOB ADDRESS SO b L. rm b a r d e ce.� <br />TENANT C h P.i— <br />PROPERTY OWNER lA <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS. _ <br />CITY ZIP <br />LICENSE 110. <br />ADMINISTRATOR <br />VALUE OF WORK _ <br />(for commerical work) <br />USE OF BUILDING <br />EXPIRATION DATE <br />PHONE NO. c ,59- (:9(p V 7 <br />(do not include taxes) <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 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 />WORK TO BE DONE: <br />110 <br />KnC) cn <br />+Ll62 ,otrno, <br />w1th <br />1 �eLO <br />w'!ri n <br />vnal-<c (YIISC <br />• Gcjrl <br />(r ors <br />1 ic6J Sw <br />SIGNED: <br />DATE: CI l d l I 1 <br />i <br />