Laserfiche WebLink
� <br /> �� H <br /> C� � . <br /> y <br /> �o�o�1 .' � �� . . <br /> �IH71 " � !v � <br /> y <br /> y� � <br /> �o� ; 4 <br /> O H ' ;i <br /> 0 <br /> ��n°o � � <br /> H •.'i <br /> � H ! <br /> i DATE D Z� <br /> C C~O H � CIiY OF EVEAETT �� <br /> p FEE '?,�. 0 0 <br /> ('�C7 fA -. <br /> �j�� -; EL£CTRICAI. WIRING PERMIT APBLICATION <br /> 4.� <br /> v <br />� H�tn � /'I D.V /ln� <br /> .. . ;•� JOB ADDRESS I q� '�/ - <br /> :ti <br /> TENANT <br /> -7 PROPERTY OWNER 5 <br /> ��' gyg�'fgICAL CONTRACTOR L�S - <br /> .. T� sT 5� S.U�,dorlis.� 4RP�0 <br /> .�j CONTRACTOR'S ADDRESS 9 3 �� ��g CITY <br /> � � 7 EXP2RATION DATE � 7/3/ ./p Z <br /> � LICENSE N0. �/� �C 5 /'� 93� <br /> "j ADMINISTRATOR /.^-2L G /—� I�������p PHONE NO. � � — 4�¢6 <br />, '�1 � • <br /> z� (3o not include taxes) <br />� VALUE OF WORK <br />� 1�' �.j (por commerical workl <br /> 't' • <br /> '�1 �'° USE OF HUILDING " ' . <br /> y <br />, 1I fi^j <br /> �1 ��; � NOTE: WAC 296-46-140 requires that plans for electrical work at educatione. , <br /> �� . institutional or healtobsamustashowtthe State approved planstbefore aaCity9ton. <br />' 1 � Applicants with such j <br /> ' of. Everett pezmm;.t will be issued. <br /> `.i <br />'' 1 �'� NOTE: Wiring in non dwellings is required to be in con3vit. <br />��I I ' WO�C TO BE DONE: <br /> :� � P_�cc� i <br /> _. <br />� 1 ' /�/ a - U� - <br />� �'� • <br /> �! . <br /> � 1'� i! �- <br />' ��' '� <br /> I '�' i]): <br />' _ �1 <br /> e;3 <br /> i �i <br />� l� � <br />�� c� y//v�� / ,� �� DATE: D �� <br /> i �^� SIGNED: � iL.--- � -�� . <br /> .,' .. <br /> I --.�_'•--._.. . <br />