Laserfiche WebLink
�r� <br /> >H <br /> ,a�x - <br /> r. H <br /> ,.a H tn _-i <br /> C S , - <br /> H z H CITY Oe EVSRLT'1' DATE `! , <br /> HC Q /. <br /> �3 X1 �' ,� �. <br /> �; <br /> ELECTRZCAL WIRING PERNST APPLZC.lTION FEE ��) / <br /> "�+J H'*] <br /> y`'� -3j <br /> yxt� � � ,� �� � ��'"j . -, . <br /> �y y(ij ;j JOB AllDRESS ( / �a v r '�1 � � _ _ <br /> H CT]O _ TENANT _�/� (' i �l� � ��-<� � � <br /> 4]� O � <br /> �"� � PP.OPERTY OY7NER _ t{� � •- �� L �� ( ' <br /> � H,.�� ezec^.iuc-a. coNTw�czox `� �<I � ( � �� �' ; C %_ / �% ,, <br /> y <br /> N <br /> g = q { <br /> (� , <br /> � <br /> C'� C1 Vl :�j CONTRACTOP.'S :•.DD!i�55 � �(��� �.il`/ S� 'F-a' �` C �� ��� i'"1!.`, �.� � (,�(� %� � `_ '�' � _ <br /> C �i <br /> Q �� b'? � CLTY 2IP ` <br /> 7 H f/� '� �'/ , � - �(} <br /> H O fP l� LICENSE NO. .: �- {J �(�.� r �.1I �:' ` g:{PIRATION DATE '� � J � <br /> i _ ( <br /> � ' elDhfINISTRATOR �� `I. �1 � i f i( r" �ii t .�� ?HCVE NO. - - ; `' �5�;� <br /> ^i <br /> ��� VAI.UE OF WOAK (do not irclu9e taxes; <br /> .,i (for commerical ::ork) <br /> :� • <br /> n � <br /> � � ; USE UF i3UZLDING �J r Il�� <br /> �� i <br /> �,"� 'NOiF.: WAC 296-46-140 reauires th�t plans for electrical �.�or4 at educational, <br /> , institutional or health eaze :acilities be approved '�� t^e State of t�ashington. <br /> �� - <br /> � Applicants wi[h such jo6s must show the State appruvc�.i ::l�ns 'aeiore a City <br /> _ � of Everett nerm:t •aill ne issued. <br /> i� .�' �. NOTE: Wiring in non dwellings is recuired to �a in cendui�. <br /> � s , <br /> - WORK TO BE DONE: <br /> 'w <br /> �..� _ � ) � <br /> ,�(� �� ✓�l ;:�.j� �� ( ... -- <br /> ✓ — <br /> ...- <br /> !tY - <br /> 1.� <br /> � � � .. . . ������ ' �� <br /> SIGNED: � I-.' .-1�4it-r7.._ � 1 . • �.�._��- �. �ATE: �.��' �i._(%/ <br /> 1 ' <br /> v <br />