Laserfiche WebLink
e; <br /> `'^''.� � � '. <br /> ���� CITY OF E�/ERETT �(� DATE // p i <br /> �. ( <br /> r`��' <br /> ELECTRICAL WIRZNG PERMIT APPLICATION FEE �G� . <br /> �... <br /> i <br /> r[<;.' �/ <br /> '� � ,++oi, JOB ADDRE55 /00/ y-� TJL 'r��" lll �i <br /> � I <br /> ��ep:;�� TEL'ANT �� <br /> I <br /> �'�� �� PROPERTY OWNER , r � <br /> S ELE(:,7" �1oG_ES <br /> �. � ELECTRICAL CONTRACTOR L�N� �LEGT�IG ��1C• I <br /> if��.. f. �. <br /> il;,� �� CONTRACTOR'S AnoxEss �o� �oX 3'-�2� �KKCAAID %8083 , ' <br /> i:; . CITY ZIP , <br /> ;'� � �� LICENSE NO. �(��-J�- /04G3 EXPTRATION DATE � L�92 . <br /> �'^ i <br /> ��,�,;���� � ADMINZSTRATOR TED K�4QCt�� PHONE NO. ���- 'r/ZZ(p :' <br /> �C I <br /> "� ..' VALUE OF WORK (do not include taxes) � <br /> (for commerical work) <br /> USE OF BUILDING fJEW S�1�CtLE FA�+�-ILN DWELUhIG <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> . institutional oz health care Eacilities be approved by the State of Washington. <br /> Applicants with such jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> � __ <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> ...+ I <br /> �� WORK TO BE DONE: �� <br /> , i <br /> , u�w 2�oaK.p �¢✓�c� ��w �,,,sr2ucno� I <br /> , <br /> T Srhr A�sc� ! <br /> . , I <br /> I <br /> SIGNED: 'W.�P.Q.�et-r— Q.�� DATE: / O � . <br /> i <br /> I <br /> 3/27/90 I <br /> `� � <br /> . � <br />