Laserfiche WebLink
� �.,� ,: .. <br /> � <br /> '.?' d � ��o � p:� <br /> \ � � <br /> ' ! CITY OF EVERETT DATE <br /> ' � ELECTRICAL WIRING PEAMIT APPLICATION FEE �� <br /> ', I <br /> I � �oB �oa�5s �q �u�p�r' � �3�2_CUI <br /> TENANT �,✓��' l..C.IYL�-�-) IL1�1t��Y'LR;C) f'�'Y{�1 <br /> PROPERTY OWNER _ _ <br /> ELECTRICAL CONTRIICTOR ,lJl� InLS !"TI)YVI� �l'l)�I � _ <br /> CONTRACTOR'S ADDRESS Ina�i JfY(�Y1dC! �()C� I l.0 Lt)I IQ �v�YT ��) 1SV <br /> CITY ZIP <br /> LICENSE N0. �]Y�I�. ti'S �U O LE ERPLRATION DATE :J'�I =7 Z _ <br /> ADMINISTHATOR PIIONC N0. ��� `'��� _ <br /> VALUE OF WORK � `1�Y.00 (do not includc taxes) <br /> (for commerical wozk) <br /> USE OF BUILDING Y e s�d�rz.n c� � <br /> NOTE: WAC 296-46-140 requires that plans for electz�ical r.rork at educetional, <br /> • institutional or health care facil.ities be approved by the StaLe of Washington. <br /> Appli�ants with such jobs must sho�,a the State approved plans beLore a Cit}� <br /> of Everett pesmit will be issuecl. <br /> NOTE: Wiring in non dwellin9s is requirrd to he in ronduit. <br /> WORK TO BE DONE: , <br /> �Yl�1" US I n n Q �Q2j� _ <br /> SIGNED: ��.[2�� �/'»/'I2.Il7t% unTF: <br />