Laserfiche WebLink
i� <br /> , <br /> � <br /> - �ITY OF EVERETT � � DATE� � , <br /> � ELECTFSCF:L WIRING PERMIT APPLICATION FEE � S�� � '�, <br /> if P' <br /> , ; <br />��' � ��/3 �v? "Q- 5% � <br />` � JOB ADDRESS <br /> e^_;.; i I <br />�^ . <br />+4;�'` � TENANT 0�4/F_ �. <br />,... i <br />`' :' �'//�21�!<) I� 1�A,CKr'�S/ � <br /> F'ROPERTY OWNER -- � <br />", ; � i <br />�,: o ELECTRICAL CONTRACTGR _�L.. j <br />�:'' � � <br /> ' CONTRACTOR'S ADDRESS � <br /> 1 CITY ZIP ' <br /> I <br /> j'r., i <br />-!"�. � LICENSE ,IO. EXPTRATION DATE_ '� <br />�``:: ' <br /> 8�i�� 1 ADMINISTRATOR PHONE NO. � S�` �I L�7 � � ' <br /> :t. � <br /> `�i�� 3 VALUE OF WORK (do not include taxes) <br /> ' _� ' <br /> j-,° � <br /> (for commerical work) <br />� � /`rL�T/� <br />�,-.-. , USE OF BUILDING �-- �� �`T�" � `�— ' <br /> r;`. � <br /> Y; " i NOTE: WAC 296-46-140 requires that plans for electrical work at e�ucational, <br />�= ° institutional or health care facilities be approved by the State of Washington. <br /> i <br /> Applicants with such jobs must show the State approved plans befo're a City <br /> of Everett pErmit will be issue3. <br /> ,' <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> /�/rcJ 5 �=�2vlci- � !Z� �ai2i-�iP�-��rF , �; <br /> � � ' <br /> i <br /> � SIGNED: __E���[(d��'G�r��tiG�y'�"„'�' DA'"E: —i---^/� . <br /> 3/27/90 <br /> �I <br /> � <br /> � <br /> I <br />