Laserfiche WebLink
. � .' ..,_,,c <br /> ,. � �.F <br /> . � d <br /> r i � <br /> � <br /> ' �/ � <br /> � y CITY OF EVERETT DATE� <br /> �`q � r�� <br /> � 'i G v <br /> RTFC'j'RIC11T. WIRING PERMIT e1PPLIl:ATION FEE � 'S � <br /> � � JOH ADDRESS � � �� - � /1 C� � -��� <br /> H�M <br /> f� Cf r Q / . <br /> 9.�� TENANT ��/J� S /rG lC � f C%�': ' i <br /> a PAOPERTY OWNER ��T /7/� <br /> � � �e � _ '� � <br /> ELECTRICAL CONTRACTOR �M1 � S �/['fT I <br /> �� I/ / <br /> Q� CONTRACPOR'S ADDRESS ���� 7 �/�'(/ I�� �/i �TM��Jo OG1 <br /> � CITY ZIP <br /> M <br /> H <br /> u LICENSE NO. ,�,b�iF' �S�C� _ EXPTRATION DATE '� I/� ��' �I <br /> � � C7 � <br /> rJ ADb1ZNISTRATOR � v PHONE N0. ��I� ��/ S �, <br /> fl���""" � <br /> � �� VALUE OF WOAK (do not include taxes) <br /> (for commerical work) <br /> ,. ._....,... <br /> USE OF HUILDING � � � <br /> NOTE: WAC 296-46-140 requires that plans for elect:ical work at educational, <br /> institutional or health care facilities be approved by the State of Washington. i <br /> applicants with such jobs must show the State approved plans before a City I <br /> . of Everett permit will be issued. I <br /> -�.; NOTE: Wiring in non dwellings� is required to be in conduit. I' <br /> �C�' <br /> �, I � WORK TO BE OONE: ,. <br /> 1 ,_�1 ln/I ICI S � � /�C1 0 /;7'� Sf7rG/ 'C' <br /> I ` <br /> ,I ._� I <br /> ��� � <br /> '`1=1' - <br /> SIGNED: ,� �L�G�� DATE: �^J J��/ <br /> '�I�� <br /> � <br /> ���� . 3/27/90 <br /> � <br /> V <br />