Laserfiche WebLink
' �1 ��a- a� <br />ELECTRICAL WIRING PERMIT APPLICATION <br />J09 ADDRESS <br />TENANT <br />PROPERTY OWPER <br />DATc: �% — � / <br />F::c: <br />ELECTRICAL CONTRACTOR �Z�L,,,, f- �✓�'�./� ,�/ ,_fy � <br />ELEC. CONTRACTOR'S MAILING ADDRE�;, �j1� ,/,���/����,�, � �� , ��,� ��3� <br />� <br />LICENSE N0. cTCJ/�Fi✓_�l� /[// � �✓ EXF_TRATiON OATE 1�,2-r{ c/ <br />ADMINISTRAT(R ���Gv �✓i'GG� PHONE ND. ���-���� <br />VALUE OF WORK (Co not include iaxes) <br />(for commercia work � <br />USE GF BUILOING /�Q (i �/P.✓� -e <br />NQTE: WAC 296-46-140 reauires that plans for zlectrical work at educational, <br />institutional or health care facilities be approveC by the State of <br />Washington. Applicants with �uch jobs �;.ust show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO Ec DONE: <br />r. <br />SIGNED : � � �n e�N DATE �"', 2O— ,� % <br />NOTES AND COMMENTS: <br />