Laserfiche WebLink
CITY OF EVERETT � � DATE /O� /�J -'} � <br /> RT.F.CTRICAL WIRING PERMIT APPLICATION FEE� <br /> � JOB ADDRESS �L� � � � /'I �/✓��'�1✓ � <br /> � TENANT <br /> PROPERTY OWNER /�/(1�YV �(�l �� ` <br /> ELECTRICAL CONTRACTOR /L•��'�a� S��✓ �/1�U1✓I Ci <br /> CONTRACTOR'S ADDRESS � �O J / ` �"C S�'Q'�� _7'�^''vt�, ��w� <br /> CITY ZIP <br /> LICENSE N0. IC�G�"SS EL �J .3h'� EXPTRATION DATE � �02- .� I �� _ <br /> ADMINISTRATOR DO nJ / `'�'"JS�� PHONE N0. ,l.3 g�'� y� <br /> VALUE OF WORK (do not include t�r.es) <br /> (for commerical work) <br /> . USE OF BUILDING /[ �E S ��L P/�� {�i ._ <br /> NOTE: WAC 296-46-140 requires that plans fur 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 pezmit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> � ��P/V.e'�� �0 O f7�'^^i�p �B-✓t%/G Pi <br /> SIGNT'�: N"""i " �.v�v���"' DATE: I��� � � <br /> , 3/27/90 <br />