Laserfiche WebLink
__ __ _---- __ <br /> ______---- <br /> ' �,. � ,i:%�' <br /> � . � �� �.[� ,.. <br /> � . � ti� ��� 1,,� �: <br /> � CITY OF EVERETT � everett <br /> DEPARTMENT Of COh4�UNITY DEVELOPMENT SERVICES <br /> APPLICATION � <br /> ELECTRICAL WIRING PERMIT <br /> .•. � � , . <br /> JOB ADDRE55 ' �'" � �. <br /> USE OF BUILDING ` � , . -" ' `• <br /> PROPERTY OWNER�_. LICENSE N0. <br /> LONTRAC'fOR ' � � ' <br /> � •� _ • TELEPHONE N0. <br /> YALUE OF WORK (comn•) <br /> H.� WORK TO BE DONE: : REPAIR _ ��� REPLACE <br /> � � �� ALTERATION <br /> c#� �—� NEW __---- - <br /> WIRING _----- NUMBER OF CIRCUITS <br /> ��- '_ 120V ` —240V <br /> ;'- � % SERVICE <br /> � � • NUMBER OF CIRCUIT$ . ~�1-=- 120V _- 240V <br /> ' SIZE � . P.N�PS , ' <br /> � K.W. (MECHANICAL PERMIT <br /> FORCEO AIR FURNACE �--� pLSO REQUIRED) <br /> �� BASE80ARD TOTAL WATTS _----- � <br /> . , <br /> . <br /> . � <br /> . <br /> DESCRIBE WORK TO DE D�NE ' �• �" <br /> , , . . ���. . . <br /> ,� . <br /> � � ' DATE —�� <br /> SIGNED DY � ' <br /> p0 N0T WRITE BELOW THIS LINE _�--- <br /> NOTES�NTS , <br /> TOTAL FEE <br /> P.FPROVED BY._ ---'— <br /> DA1 E�—�—. ! <br /> LV •' II <br /> � J <br /> 9-1-79 � <br /> I __1 <br /> 1I, <br /> � <br /> �, <br />