Laserfiche WebLink
CITY OF EVERETT <br />ELcCTRICAL WIRING PERMIT AdPLICATION <br />i� <br />JOB ADDRESS <br />TENANT <br />PRCPERTY OWNEA � <br />ELECTRICAI, CONTRACTOA <br />CONTRACTOR'S ADDAESS i�� ). � <br />LICENSE N0. �Q�` V�'�e�a� I� k <br />ADMINISTRATOR �_ � OlG WlS <br />VALUE OF WOAk <br />(foz commerical work) <br />USE OF BUILDING �Q-.-� ��[�_ <br />DATE mny��, 1551 <br />FEE �� , [�(� <br />ZIP <br />EXPZRATION DATE � S' Z 1- �"i a <br />PHONE NO. 33�'I" � �� <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requizes that plans for electrical wock at educational, <br />institutio�al or health care facilities be approved by the State of Washington <br />Applicants with suct. jobs must show the State approved �lans before a City <br />of Everett permit will be issued. <br />NOT�: Wiring in non dwellings is required to be in conduit. <br />WOAK TO BE DONE: <br />�IP �) Y�P � cN�'v���� �.� C��1�� ! � c`Xl (avh. Sc°r.� i L 2 - <br />SIGNLU: ��� C'IXA�� <br />� <br />]/27/�0 <br />DATE: S_ l,J��_ <br />N� <br />