Laserfiche WebLink
CTTY OF EVERETT <br />ELECTRICAL WIRING P�'Rh1IT AP LZCATION <br />��31 �'��av�0 <br />Jos aDDxess ( AL 8 C5-��1� /(,� G� �, � <br />TENT.NT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />u <br />DATE _•'. ` O <br />FEE ��'-`�' <br />� ,�~,, <br />- n11 - a� <br />� �,�, <br />S > <br />i <br />f <br />CONTRAC:'OR' S r1DDRE55 �So� DO C�}¢� ' „�` ���' C�g'�' �/ <br />CITY ZIP <br />LICENSE N0. <br />ADMINISTRATOR <br />EIiPTRATION DATE�� <br />PY.ONE NO. <br />VALUE OF WORK (do not include taxes) <br />(for cortunerical work) <br />USE OF BUILDING ��� � <br />—� _ <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or :�ealth care facilities be approved by the State of Washington. <br />Applicants with such jobs must show the State approved pJ.ans before a City <br />of Everett per.nit will be issued. <br />NO']'E: Wiring in non dwellings is requized to he in conduit. <br />WOFK SO BE DONE: <br />/% .�7�1_�S� s (��(ik.r'�i, � <br />SIGNED: <br />3,�27/40 <br />DATE: y� ( — 9� <br />