Laserfiche WebLink
CITY OF EVERETT ;` ~, <br /> DATE �j� <br /> ELECTNSCAI. WIRING pEIUSIT 1,PpLICATZON �' <br /> • ' � FEF. �p ��� <br /> � � 'tl soe rwoxEss . � ��. � /.S {� G G/t' L FEL L F� <br /> � �N TENANT � <br /> 9HV� - <br /> � <br /> y � PROPERTY�OWNER �UI L QL�'(� Cgi ( �j /i � /' s <br /> �! Q <br /> H '.ZI EL'iCTRICAI. CONTRACTOR <br /> 5 �_ . . ,._._L lill/ L.��/ T/� Cr C!-� n'A/�'S <br /> yU1N <br /> x CONTRACTpR'S ADDRESS •� C O V`�N L� � <br /> [n0 � <br /> y d CITY <br /> p � ZIP <br /> LZCENSE NO. <br /> �� � • � � EXPTRI\TION DATE � <br /> I-� ADMINISTRATOR (� q <br /> �x y � PHONE r:0. _G7 ,5 �f' 7 � � / <br /> �„� y � VALI)E OF WORK - <br /> C fn (for commerical work)�— (do not include taxes) <br /> O N <br /> C1�C/J <br /> � �i� � USE OF HUILDING fj r /�j7'-/�, L- � <br /> � n i'c Er <br /> �y NOTE: WAC 296-46-140 requires that plans, for electrieal work at edueational, <br /> institutional or health care facilities be approved by the State of Washington. <br /> �' Aoolicants with such jobs must show the State approved plans before a City ' <br /> oY Everett permit will be issued. <br /> � NOTE: Wiring in non dwellings is required to 6e� in conduit. <br /> �_ . <br /> �� <br /> WORK TO BE pONE: <br /> .�- Jr-Y r=r�, ,/�''1-...,�c.},. <br /> • I `� � ��-� Z��C� 7` �_-� P�� � <br /> Ju ,c ,., t � � Q n�,J 2 �ifo 7�—/� <br /> '_'- ��_„Y��^� � l' n b f� o . � <br /> .c'�l� o (1�ti <br /> � 1�1 <br /> SIGNED: �,�L'..��}L�• ��n�i �LL/� �j p <br /> LI I ' DATE: � •- 74 ` / � _. <br /> 3/27/90 � . . � <br />