Laserfiche WebLink
�,: . . <br /> � <br /> c <br /> CI'PY OF EVERETT DAT:: �%/f'i��f <br /> ec� <br /> ��� ELECTRICAL WZRING PER6IIT APPLICATION FEE� ZS <br /> 9�H �/ <br /> � Joa rwDxEss C/��c� 02� �� �f/,�' S�=J. <br /> y �,H TENANT — <br /> � y� PROPERTY GWNER �C�/✓G/eG U <br /> H x� ELECTRICAL CONT:tACTOR ���(�i'F� �JN rCLN�� I7 L � I�� �t- I __.._ <br /> T � <br /> T � � f n ,�� ��yj � <br /> d CONTRACTOR'S ADDRESS � 232c �J�4+�1 K� ��/1 � I "Jl L-F�C L-� � � �'�`+�' � �� � <br /> � ��-y CZT'f � :I? <br /> � .I <br /> x H� LICENSE N0. �LID�S'y"��" O�Q D � E:SPI�ITZON DATE ' ��J��^Cl � i <br /> � H cc�--� /,r ^7 �7 ��� <br /> Fy y ADMINISTRFITO�Vc-��.IE �l�L�C PHONE NO. C� IC '1 �' C.-Jl�� _ � <br /> I <br /> y <br /> H <br /> C� C7V� VALUE OF WO�il� ido not include taxes) <br /> � � �;� (for commerical work) � <br /> t+7 <br /> H O C/� USE OF BUZLDING . <br /> � NOTE: WAC 296-46-140 reauires that plans Por electrical work at educational, �_ <br /> institutional or health care facilities be aporo�ed by the State of Washington. <br /> Applicants with such jobs nust snuw the State approved ylans before a City . <br /> � <br /> of E•rezett permit wil! �e issued. <br /> .E'. .`,�, . <br /> ��� NOTE: Ylir.ing in non d�,uellings is reauired to be in conduit. <br /> 470R'C TO BE DONE: <br /> �� ��'�L D - '�I/���-- (c�1'I I�(����"�,Ut Gc <br /> �� <br /> �1 � <br /> - <br /> ��- <br /> SIGtlED: DATE: <br /> �'�� �^_ �, ,- � � ti' -��-- 2�P- �2� � <br /> --� �,�V�, (��:. , I� s��"u i�'2 � ��= i �I <br /> 3/27/90 <br />