Laserfiche WebLink
'--. <br /> , <br /> �� CITY OF EVERETT l,� DATE /1���/�� <br /> '�' �7 c <br /> ELECTRICAL WIRING PERMIT APPLICATION . . FEE �7 G � <br /> ��� JOD ADDRESS � , ,,� DD�7 '/ /i (�JC-Q�C.� /-J.�-� <br /> C � F� TENANT _ 7 �7i/�Ii1� 'S�/lJiC.� � <br /> i <br /> y�tn pAOPERTY OWNER � <br /> � ELECfRICAL CONTRACfOA v �^ � ! � <br /> 0 '/ �-L— / <br /> �y� CONTRACl'OR'S AL'JRESS �C�7�G� -�-�/i�/2.C�/ �✓�""��7 /((�.�✓ <br /> � ,Z, � . CITY ZIP <br /> n d LICENSE NO. /�//{�/�(/���/J Jj-�� EXPSRATI0:7 DATE � �- / -�Z <br /> p�� ADMINISTRATOR � ..> �( / �,A PNONE l70. � SJ ' /��� <br /> 9 N� VALUE OF WORK r (do not include taxes) <br /> r H y (for commerical work) <br /> N / j /� <br /> (]Cy f~/� USE OF HUILDING �y/�)7�L.0_ S/'/`�- <br /> ��y`" NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> O!n institutional or health care facilities be approved by the State of Washington. <br /> � APPlicants with such jobs must show the State approved plans hefore a City . <br /> of Everett pexmit aill be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> 1 �� WOAK 1'� BE DONE: <br /> w ����o _ :��-�-� 1�0�. , N �iJ����� / , ,(� <br /> . �� _ , o <br /> I <br /> ��� <br /> ' 1 SIGNED: %/�/ �� ��,( _ . �� DATE: / �� / // <br /> L� 1 <br /> 3/27/90 ' <br />