Laserfiche WebLink
CITY OF E�7ERETT �`""� <br /> r"". <br /> DATE �J - / P- %o <br /> ELECTRICpL WIRING PERMIT APpLICATION <br /> FEE `�506 <br /> -----_ <br /> Joe �Da�ss _ �l�o � � sr � <br /> / r��� <br /> TENANT _��N P I^ __ <br /> PROPEATY OWNER �� �T���=� L/� L <br /> � � 7cor"1( <br /> E��TRICAI, CONTRACTOR <br /> �W✓i -P✓' <br /> CONTRACTpg�S ppDRE55 _ <br /> CITY ZIP <br /> LICENSE N0. <br /> EXPSRATION DATE ' <br /> ADMINISTRATOR � • <br /> ' PHONE N0. _�S �- L�L�--� <br /> VALUE OF WORK <br /> (for commerical work) (do not i.ncluae taxes) <br /> USE OF BUILDING _� ` E` �/ -� <br /> i.->o P � / <br /> � t�t p <br /> NOTE: WAC 295-46-140 requires that plans for electriral work at educational <br /> institutional or health care facilities be approved by the State of 47ashington. <br /> Applicants with such jobs must show the State a;?proved plans before a Citp <br /> of Everett permit will be issued, <br /> : NOTE: Wiring in non dwellings is reauired to be in conduit. <br /> WORK Tp HE DONE: <br /> � �I' 'L' � / - <br /> r <br /> Hc/�d, '. ,., • � �----_ <br /> ,.�al�/� ,� �— <br /> �_ <br /> --�__ <br /> --�__� <br /> SIGNED: � � �� / ' <br /> DA1B: 7 � �/ � <br /> 3/27/90 <br />