Laserfiche WebLink
r <br /> � <br /> � <br /> i � <br /> � ;�� <br /> ., <br /> . , �sz� <br /> CITY OF EVERETT DATE: �' ,2c� i�� '� <br /> _ I ,_. <br /> n� <br /> ELECTR'::,�L WIRING PE9MiIT APFLICATICN �t� _ I :, <br /> .'1 <br /> I <br /> JOB AO�RE55 ;� ,�j r,' S '�`�� J � __ `f�3� <br /> TENANT _ ' � <br /> { � � ,a <br /> PROPERTY OWNE� _�/�'�' �= �/ !� i ':{ <br /> ELEC7RICAL CONiRACTOR ��j� j,� ��.�G-�✓i/� I ' ,,� <br /> i <br /> L:C�`!Sc P:O. ��lr'/�SS r � �5 ��t.,E;(P_T.�ATIC� �AT�(,�'� / � C� i <br /> l � � <br /> ACMINISTRATOR G--,� -�'�'ti-.� PHONE N0. 1�9��_�,r7 f � � <br /> VALUE OF WORK �do not include taxes) ' �� <br /> (for commercial workJ °� <br /> : <br /> USF OF BUILDING /Gc�%�G c-��t%C"� � �' <br /> :, <br /> NOTE: WAC 2°6-46-140 requires that plans Tor elect.r:ca1 work at educational, � <br /> institutional er health care ?acilities be approved by the State or" <br /> �9ashir.gton. Aool_cants with such jcos must snow the State-:.pproved plans <br /> b=rore a City oT Everet� pe_nit will be issued. <br /> V:ORK TO BE O�NE: <br /> �l� G /�`""'�� i''✓/ s�".e,�( / �I�Y✓iC..P_; <br /> i <br /> � <br /> � <br /> � • <br /> I <br /> � I <br /> � / <br /> SIG�JEJ �l�'+'t� f C �2��`"�•�' DAT': �j � ?�r� :S� % _ I � <br /> _ , <br /> PIOT�S APl� CC��MEPITS: <br /> 5i'_n!:s7 <br /> ___°y <br /> I � <br /> � <br />