Laserfiche WebLink
� C <br />�. <br />CITY OF EVERETT <br />DATG -' Cj-c'I <br />�� `.� <br />ELECTRICAL WIRING PERMIT APPLICATION FEE <br />JOB ADDRESS �/ ) I� � ��"i' � T U e <br />TENANT <br />C <br />PROPERTY OWNER, � )�--i1:2�I U�� <br />� CU <br />� <br />ELECTRIC7IL CONTRACTOR �'9U(%ZC�� 4-% �IC'L�/�tC �L�� - <br />CONTRACTOR' S ADDAESS �� ��� I�J,�-� l �7. S��y1 w" � uk-�'LL�=���%�� .! "`� �� <br />..� CITY ZIP . <br />/� U ��7 � -'7 <br />LICENSE NO. /i-U�;_'01��� I II �l` .7 L'XPIRATION DATE � /- �� <br />ADDfINZSTRI�TOR � �4LI � ���_ PIIONG NO. Zy �- 7� 7�� <br />VALUE OF�WORK (do not include taxes) <br />(for commerical work) <br />n f '/I� <br />USE OF, SUILDZNG /� E� ��'1� C� iUC� � <br />NOTE� WI+C 296-46-140 requires thal plans Lor electrical work at- educational, <br />institutional or health care facilities be approved by the State of Washington. <br />Applicants with such jobs must sliow the State approved plans bef.ore a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />�+, c� <br />SIGNED: �� �ti � � DATE: I ��� - I � <br />i / <br />� <br />/ <br />3/27/90 <br />