Laserfiche WebLink
CITY OF EVERETT C G� DATE b Z Y3 <br />ELECTRICAL WIRING PERMIT APPLICATION FEE �ly D <br />JOB ADDRE55 7/ 2� /7QJ�p.� /c� <br />TENANT <br />PROPERTY OWNER yidw �a.uo��>wr„t- aoo/ %��JC �ooi� ,S'� /a/� / <br />ELECfAICAL CONTRACfOR EIQCfJI- C�}� I�I.C. <br />CONTPACTOR'SADDRESS �b2�Z BO�N4I� WG.I SC F'13S Gf���I�✓/a-� W4�•�QiZ� <br />CITY 2IP <br />LICENSE N0. EIC� � IlO BA E%PIRATION DATE' �///�IS <br />ADMINISTRATOR ( G✓I �l�e% PHONE NO. 6�Z' ia%9% <br />VALIIE OF WORK � SDOO �- (do not include taXeS) <br />(for commerical work) <br />USE OF HIIILDING tJp �OUSC <br />NOTE: WAC 296-46-140 zequires that plans for electrical work at educaiional, <br />institutional or health care facilities be approved by the State of Washington. <br />Applicants with such jubs must show the State approved plans before a City <br />of Everett pezmit will be issuea. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORIC TO BE DONE: <br />�CYJh �80v ��r���- a�.-.1 'i-ovo- �48� S.co�i.t ib <br />���i-�� u�.�..,..t- <br />SIGNEO: <br />3/27/90 <br />���J; � <br />DATE: b Z 9 93 <br />