Laserfiche WebLink
I <br /> 3ti3�� <br /> CITY OF EVERETT DATE <br /> ELECTRICAL WIRING PERMIT APPLICATIONFEE <br /> 2 <br /> /^� <br /> JOB ADDRESS _ I bI00 P/ `jr� 1?13W3 <br /> TENANT _ .�UeL� I-><r��✓Y)PJ <br /> PROPERTY OWNER <br /> ELECTRICAL CONTRACTOR Al'i n�J /I-Inure JLiAl)1"t 1ta <br /> CONTRACTOR'S ADDRESS '�� <br /> /nITY `ZIP V U <br /> LICENSE N0. j2z,li uj jye6 (,fir EXPIRATION DATE _ �-3/ -9z <br /> ADMINISTRATOR PRONE NO. _h 2z 'D U 9� <br /> e <br /> VALUE OF WORK _ y�Q.QQ (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING r ee5 IJ on QV <br /> NOTE: WAC 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 /> Appli4iants 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: <br /> SIGNEDt J11 1724"V't'D DATE: <br />