Laserfiche WebLink
i <br /> I <br /> II <br /> I <br /> CITY OP EVERETT C'lry DATE �O ZS (� <br /> y�� ELECTRICAL WIRING PER^�IIT APPLICATION " 3 S'�" - <br /> x� <br /> ay <br /> i9 y� : -..� JOB ADDRESS 2 ao Z /O Tu -�L l�C� � <br /> y �� TEr7ANT <br /> p x0 PROPERTY OWNER �+EGEC.� �pjp�,a - <br /> '�J H'�J <br /> � z C ELECTRICAL CONTF2ACTOR L �h. � F- llJr . <br /> � O d CONTRACTOR'S ADDRESS �C��• r�,C J?��� �/.�Y.//M!t) OS3-35��y <br /> ,� n d . CITY ZIP <br /> H lTJ O <br /> G]� C7 - <br /> �"'� LZCENSE N0. �C,N.�ELE.Z.� /�_ EXPZRrlTI017 DATE � Z Z <br /> r H� ADMINISTRATOR �E� (�C(l#��E(L __ PHON� NO. FS9�,7�, <br /> e � <br /> �n C7 V� Vr1LUE OF WOFu. (do not include: taxes) <br /> � � r�.y� (for commerical workj <br /> H O V� USE OF BUILDZNG �UEW leESll�EUCE _ <br /> � NOTB: F7AC 296-46-140 requizes that plans `or electrical work at educational, I <br /> . institutional or health care Yaci-iit_�_s h•- __zo':e� b� the ��ate cf ..ash=.^.n`-or:• <br /> Applicants with such jobs must si�o'd [!ie S�ate an.zcvec a'-a�s beio:e a City <br /> '-�� of Everett permit will 6e issued. <br /> �� [IOTE: 47iring in r.or. r�::cilznq� _� rr..ci:.-c: ,_.. i:c _:. car.<7u'_'=. � <br /> �� i <br /> WORK TO BE DONE: ' <br /> a"� � <br /> �•� . ,UEw Ioo Au. p �r=Rvrci- <br /> i <br /> �� I <br /> �` <br /> 0�'� — <br /> �s� � n0 . � /Y'�h,G(G� — DAT6: /�_ /��90 �. <br /> SIGNGD: ��y�_«eSEst�--"' <br /> S�f I <br /> 3/27/90 <br /> 1 <br />