Laserfiche WebLink
\ <br /> � <br /> � <br /> �� ci�rY or• svs�eTT � � i , DnTs /b 9� • <br /> ; _1�� <br /> `�- ELECTRICAL WYRING PERbffT APPliICATION FEE I � � <br /> i;, <br /> i <br /> �frL q� � � � <br /> - JOB ADDRESS "�-.! Z / A6 �W� �`� � . . <br /> �+� TEN7INT C�IZf�� /(/J�7XCl/ F S T �1 N� " . I . .�i: <br /> PAOPERTY 047NER �� S ,iL,µ� V <br />� � ELECTRIC7IL CONTRACTOR �-�JA /�A�l (y/Q., C�L�C-7�j�•L, � � <br /> CC�NTRACTOR'S ADD.4E55 U ,S�/ / �%� Q�� ,s�j ,JKu�,�,��J7 g�9a � � <br /> CITY ZIP <br /> LZCENSE N0. ��-��p/Z /7 91SKJ � EXPTRl1TI0N DATE %' �� S�� <br /> ADMINZSTR7ITOR , �u� ��,,.�/a` PHONE N0. Srp�^ GS�Z/ � ���,`; <br /> m. <br /> V11LUE OL•' WORK � UUO , (do not include taxes) � =�i=, - <br /> (for commerical work <br /> � � <br /> /J �• <br /> USE OP BUILDING � v�(,�N fC.Q' S' I O Q.H �. y +; <br /> ''a <br /> NOTE: W11C 296-46-140 xequires 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 /> �'7h <br /> NOTE: Wiring in non dwellings is required to be in conduit. j <br /> l <br /> {90RK TO BE DONE: <br /> -�i ` ���x tiw` �ti S S <br /> . <br /> r � � <br /> :,�. <br /> �', <br /> 2 /Dd ' �,,, <br /> � 5���� s `�.� ,��..,� �:. <br /> , <br /> SIGNED: _� DATE: � /a 9/ � - <br /> ,� <br /> 3/27/90 <br /> . -Y' <br /> . �:� <br /> f� <br /> 3 <br />