Laserfiche WebLink
CITY OF EVERETT ' DATE IU � <br />C. G <br />E�ECTRICAL WIRING PERt9IT APPLICATION FEE �� <br />�� ,, ,�� . <br />JOB ADDRESS . __ -�-�I— � U� � I ��- '� ��� �I/� � -- <br />TEN1fNT � <br />PROPEEiTY OWNER ��� IJ C��'� CI �,�, �'1i (� S S __ <br />ELECTRICAL CONTI2l1CTOR I� 'Y W � Z t- �' ��/! ��-� <br />CONTRACTOR' S ADDRESS ��' (Il. �� Ln C, �j �.Ti�6.t�� I S 0. �! CJ � T`' "�' �� 3 <br />CITY 2IP <br />LICENSE N0. �3 l(,� {�1 C-.7� I`/S L G <br />n i <br />ADMINZSTRNTOR ' `U { � L �� �� N " I� ; d il/ <br />E7{PTRRTIOP! DATE '� G- lL7 " 4/� <br />PIIONE L�O. } o.Q�- �7 i fl � <br />VAI,UE OF WOF2K � (do not include taxes) <br />(foz commerical wcrk�F <br />USE OF BUILDING rj "= C I S �%= C t^ _ <br />t10TE: WAC 296-46-190 zequizes that plans for electrical work at eciucakional, <br />• institutional or healtli care facilitiey be approved by tne State of Washington. <br />Applicants with such jobs must sl�ow the State approved plans�be;cre a City <br />of Everett Fermit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />� tv �; c-� D 1 �'�> ,? � = % � , .� : � /- �, " � � � �� -- <br />_ , , <br />�ao o�.� .f'G;�dicE - <br />1 (� ,� <br />SIGNED: � l �-'���. J.-k�� � <br />DATE: � 0 -� 0- � I <br />m <br />