Laserfiche WebLink
� � <br /> � CITY OF EVERETT " DATE (p � 2-� ! /� <br /> � U�.a <br /> RT.F.CTRICAL WIRING PERMIT APPLICATION FEE Z S . — <br /> JOB ADDRESS I � I Z - Z� � v 1 <br /> TENANT <br /> i �'_.. . PROPERTY OWNER 1.'7� � '/r�-D� I bC') 'I~L _ . <br /> Ia,`::..� , , ELECTRICAL CONTRACTOR I�VI �C7IN i �I IZVf�„I L . <br /> 1���,� �- � i , <br />� ,� coNmRacxox�s r�noxEss 30 1 � I�Kul�fY� 1zV. GV��- `f'`.�?�V� <br />' ci�rsr zxr <br />�-�'�: LICENSE N0. IM�-CJIIJ FL�I 7 1� EXPTRATION DATE J. � Z a � / 3 <br /> I;' M <br />"� ADMINISTRATOR � 'I' II��L�G� PHONE N0. Z�Z- � � ' / , <br />� <br />� "=: VALUE OF WORK (do not include taxes) <br /> j �'. (for commerical work) <br /> j� i USE OF BUILDZNG S/^ � <br /> i ` � � <br />� ' NOTE: WAC 296-46-140 requires that plans for electrical work at eduoational, , ";e <br />�. �;� i institutional or health care facilities be approved by the State of Washinqton. '^ <br /> - Applicants with such jobs muat show the State approved plans before a City , � <br />:���.. <br /> � <br /> of Everet;: permit will be issued. <br />,_.,: <br /> NOTE: Wiring in non c:wellinqs is required to be in conduit. <br /> Y .,,`. <br />� '.t ; WORK TO BE DONE: <br />+ . ,�i��i� ^ N W STA�1 k s Pr� rv� S *�- �,�� <br />� � � - � <br /> "} o owu �BA�T lt <br /> �� <br /> ; <br /> 1�LT C�ll�t(f.�ni S <br />..3 �::,'.. � , . <br />, , � <br /> i ���J A / <br />' � SIGNED: y//� .!/ �7 // - - - - DATE: � ' Zb � <br /> ( �—Z <br />��-�� . <br />�� � t <br /> 3/27/90 <br /> i <br /> R <br /> � <br /> f .. . . _ "____' . . <br /> �..i..,.�� ..:,..::_. ... . �....:. ,. � . . . . . . . . . <br />