Laserfiche WebLink
CITY OP S6'ER£TT <br />ELECTRICAL WIRING PERh1IT APPLICATION <br />JOB ADDRESS <br />TENANT <br />��� 5i�p_� <br />DATE � /� — r' <br />D(� <br />FEE��_ <br />PROPERTY OWNER __ �j/ L� � � �� <br />ELGCTRIC7IL CONTRACTOR /��Z�j �� N �� C 7Vi L <br />COfdTRACTOR'S ADDRESS � �(J�� in,' �. ��]j�p(�f �/, �O �(1 l <br />CITY ZIP <br />LZCENSE NO./UL�-i S,5 f�'�,�� j j/Z L(,/ gXPTRATION DATE �� ��/�� � C� <br />ADMINISTRATOR �ON /��Q- SS / �J pHONG N0. ,7��1 �.S' � � <br />VALUE OF WORK <br />(for commerical work) <br />OSE OF BUILDING <br />(do not include taxes) <br />D]OTE: WAC 296-46-140 requiras t:�at p:ans for ,:lectrical work at educational, <br />institutional or health caz� facilities be approve3 by the State uf Washington. <br />Applicants �aith such. jobs mu::t show the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellinqs is required to be in conduit. <br />WORK TO SE DONE: <br />D <br />SIGNED: <br />3/27/90 <br />: <br />�aTL: � �F/ - �l � <br />�.;i <br />'M <br />