Laserfiche WebLink
CITY OF EVERETT DATE 10 I <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE <br /> ' JOB ADDRESS 2 �pa 'I�T-I Pi- <br /> TENANT <br /> I TENANT - <br /> PROPERTY OWNER15� _ <br /> ELECTRICAL CONTRACTOR -Lk VA EyLT�G loc. <br /> '1. <br /> CONTRACTOR'S ADDRESS 0, eoK !-,>q 24 K i K 18083 - <br /> CITY ZIP <br /> LICENSE NO. L_Lk-E EXPIRATION DATE 2� Z <br /> ADMINISTRATOR PHONE NO. 9 3 -gZZb <br /> VALUE OF WORK - (do not include taxes) <br /> (for commerical work) <br /> • USE OF BUILDING I.��k1 f�E�ID�11[F <br /> NOTE: WP^. 296-46-140 requires that plans for electrical work at educational, <br /> • institutional or health care facilities be approved by the State of Washington. , <br /> Applicants with such jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: r! <br /> 2� nwp SERJ�CE a�w Now-F <br /> I.. i <br /> DATE:SiGNEDs <br /> ) <br /> 1 <br />