Laserfiche WebLink
� <br /> � <br /> CITY OF EVERETT . , � � DA;E_ lU�,;7�-C' O <br /> -� . <. �- <br /> ELECTRIC.,L WIRING PERMIT APPLSCI�TION F�E -��' — � <br /> Joa anoxsss /c0!`a— .3�0��'!�Ilc� cc�. <br /> TENANT <br /> P?iOFERTY 047NER c, l �� 0 f��//�,(�Ls I J .. <br /> ELEC'IRICBI. CONTRACTO?2 (',(T�, n s i�i/�StC�-,'7".�vTl tii-r13S .b� �[ __ <br /> CONTRACTOR'S ADDRr^.SS �;,..�OO - C L?�A k __ i-'l _._ `7 b�aU� <br /> CIT:' ZIP <br /> � LIC�NS� N0. _ E:¢`TRATION DATE '_ _ <br /> aC?IINISTRATOR _ P50NE N0. _J�ti '/ - y' � LG _ <br /> vai.os oF wauc ���y�r� �— (ao �.ot t.,civae taxes) <br /> (for commeric.sl work) <br /> USE OF BUILDT_NG �j'?�/L (`ALJL".j� _ <br /> �i0_3: WAC 296-46-•140 reauires that nlans for electr_cal work at edccational, <br /> institutional or health care iacilities be a�nroved by the State of [iashingtoa. <br /> �'�ooi.icants with such jobs must show the State apnroved plana be�ere a City <br /> oi E�ierett. permit will be issued. <br /> :IOTE: [4iring in non ciwellir.ys is re3uired to be in conduit. <br /> f90RK TJ DE DONP•.: <br /> �n)Si7u� /�)�> � /o�b��✓r, r/AC ��-��c�iC.6' GO.�. i';"���:P_ !/Hu��_ <br /> SIGNEL:�� �ir G � �y%.t�'�/O --- DA'-'�: �.z,.'� -I�O <br /> 3/27/9C <br /> - � <br />