Laserfiche WebLink
yq <br />CITY OF EVERETT 7,' DATE <br />1. <br />ELECTRICAL WIRING PERMIT APPLICATION <br />FEE <br />rr <br />/ <br />�• <br />x <br />JOB ADDRESS . I - 7 S \� �) <br />. L.'�.� . <br />O <br />^�I <br />q Sn <br />TENANT <br />K n <br />PROPERTY OWNER 7 t.ti V' <br />H0 <br />( <br />'PV " IV <br />ELECTRICAL CONTRACTOR <br />E:' I <br />CONTRACTOR'S ADDRESS <br />f' t.. <br />02o: <br />H C <br />CITY ZIr <br />O <br />H M g <br />LICENSE NO. jI_ D �, C�.E r �-�� LlI' <br />EXPIRATION DA/TES J <br />Q. n <br />y y <br />/ <br />ADMINISTRATOR J �11 C' �'f-7<t <br />_ <br />, <br />�y 1 C� <br />PHONE NO. <br />H H <br />t7 fn <br />VALUE OF WORK (do <br />not include taxes) <br />o ~ <br />C) t7 trr/: <br />(for commerical work) <br />@ <br />[ <br />C- <br />USE OF BUILDING J j 1A le �LL_-7 I t <br />_ <br />g0EA <br />NOTE: WAC 216-46-140 requires that plans for <br />institutional or health care facilities <br />electrical work at educational, <br />be approved by the State of Washington. <br />Applicants with such jobs must show the <br />State approved plans before a City <br />of Everett permit will be issued. <br />i <br />• �� <br />NOTE: Wiring in non dwellings is required to <br />be in conduit. <br />STORK TO BE DONE: <br />- • ,�-� <br />cli <br />Lao 1 /} DATE: s1 C - <br />SIGNED: <br />/ `� / lLe✓ '5 <br />�/LT <br />- <br />3/27/90 <br />