Laserfiche WebLink
CITY OF EVERETT � � - DATE �/� / ,/ <br /> .^�.LECTRICAL WIRING P:R41IT APPLICATION FEE <br /> Joa �o�s5 �� (,z�1Ud2�� 5% <br /> TENI�NT _N�/�S LUUL + <br /> ��a� PROPEATY OWNER ��5 L-�6� <br /> C«�y /�%ID,U l-Ct� <br /> "- y ELECTRICI�L CONTRACI'OR <br /> y�� /�O /6vI %XSr/L �s� �7 <br /> ,M CONTRACTOR'S ADDRESS Z CU <br /> fC y� CITY ZIP <br /> �V M LICENSE NO. �-( ITJL � 3ZZ Vi�- EXPIRIiTION DATE %� �Z ' �' /� <br /> ADMINISTRATOR l�C�l�/`� �<Cr-C-� PNpNE N0. bS3 /� <br /> �,,,,� t <br /> � <br /> F� <br /> �d~ VALUE OF WORK <br /> �C (do not include taxes) <br /> p� n (for commerical work) <br /> y y� USE OF HUILDING S! � <br /> C" '� <br /> HH <br /> O V�M NOTE: WAC 296-46-140 requires that plar,s for electrical :uozk at educational, <br /> n�M institutional or health care facilities be approved by the State of Washington. <br /> � � Applicants with such jobs must show the State approved plans before a City <br /> � w of Everect permit will be issued. <br /> y <br /> � NOTE: Wiring in non dwellings is required to be in conduit. <br /> 1 + WORK TO SE DONE: <br /> 1 C� 2�n �{� u� G��,r i�� ��,��u �� <br /> � �� <br /> i �1� /A/ <br /> SIGNED: ��G �'L�`. �'�'G`i�� DATE: (. -' //'/ <br /> ��� <br /> � 3/27/90 <br /> . . ._ .____ . <br />