Laserfiche WebLink
Cl.TY OF EVERETT � - ��fE �) � I <br /> ,.:.� <br /> ELECTRICI�L WIRING PERMIT APPLICATION <br /> FEE �S, � <br /> Joa n�o�ess 7`� �� U Q a e�e �� l � �R �i�<��R N F <br /> J <br /> TENANT <br /> PROPERTY OWNEA �,�V'CA � �^ I��A��' � <br /> ELECTRICI�L CONTRACTOR - <br /> CONTRACTOR'S ADDRE55 y O \l �S5 ���I LM�� � Y' r�- �3 <br /> CI ZIP <br /> LICENSE NO. �1 v�T P ( 1(� � � � EXPTRATION DATE � _�a ' �L � �1 �� I <br /> ADMINISTRATOR � II`�PO�� Y1C PHONE NO. ,'�3y ' ao� 17 <br /> VALUE OF WOAK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING � � I� ' <br /> NOTS: WAC 296-46-140 zequires that plans for electrical work at educational, <br /> institutional or health care facilities 6e approved by the State of Washington. <br /> Applicants witt, such jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> NOTE: Wirinq in non dwellings is required to be in conduit. � <br /> WOAK TO BE DONE: <br /> '��O �w,o Se r��c e. � � `K �n u� C.c�,.�ru c� r a, <br /> SZGNED: ��'� <br /> `�C,�'.QO..,,. D71TE: �Z��!I <br /> 3/27/90 <br /> •,��.-..�.. . .,..T-^.n1c^- . :.- . , ..,,�� . ... . �,.q.,•...�Cr.,. . <br /> • . • �.M .•. . .. .� . .. . � ..... .... . .... . �.�STf• •. � �1• <br />