Laserfiche WebLink
CITY OP EVE32GTT UATC �- I -� `=j � � <br />ELECTRICAL WIRING PF.MtIT APPLICATIOt7 FEE ;�] j_(`Y i� <br />�ooMDRESS 10'7 '7S'' Si' ��.) �1leref� lt�t 31 �';,9�.NLia�,'.� <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTMCfOR <br />CONTMCTOR'S ADDRE55 <br />ZIP <br />LICENSE N0. �� l y�'{�' �� 1(� t� ERPSIiJ�TSON DATE %' S- 3 I-�-) -]�_ <br />TDMINISTRIITOR ►J�'� ��XC..���� S PNONE NO. 33y -,�� �/ <br />VALUG OF WORK (do not include taxes) <br />(for commerical work) <br />USE OF DUILDING <br />NOTE: WAC 29G-46-140 requires that plans for electrical worY. at educational, <br />institutional or healtf� care facilities be approved by the Stete of Wasliington. <br />Applicante with such joUs mu3t show the State approved plans before a City <br />of Everett permit will be iscued. <br />NOTE: Wiring in non dwellings is rc�uired to be in con<luit. <br />WOIiK TO DE DONE: <br />SIGNGDi �"J��� � ������,��n.� DATH: �-�II <br />7/27/50 <br />....... � _... .. . ... ..... . ......_.._.._-...................... , .. ... .. . .,�„ .. ,. . , � ,,.ti............ <br />