Laserfiche WebLink
��� ...., <br /> � � .-�, , w <br /> ��� CITY OF EVERETT DATE: ��/�� <br /> � y� ELECTRICAL WIRING PERMIT APPLICATION FEE:: _ <br /> ��O <br /> HC y (J <br /> ��g JOB ADORESS �� 0 �J 0.Y �j a r� � Qit�L� <br /> �� � � <br /> M TENANT <br /> yH _/ <br /> r H PROPERTY OWNER• �2 D D �{ C <br /> gC y E1EC?RICAL CONIRACTOR � — i�C. <br /> �t� ^ I/� pI <br /> yo�y LICENSE N0. l .hW� ,�C I�I,��U� _ EXPIRATION DATE �I P <br /> ADMINI57RATOR s�; (Y i�,Qj1Kl�. PHONE N0. �S�—D9`S/ <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING {.{�t�2_ <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 <br /> Washlrgton. Applicants with such ,jobs must show the State-approved plans <br /> before a City of Everett pexmit will be issued. <br /> ' ��i WORK TO BE OONE: <br /> 1 � aD d � a �S� r J�Cp �- �.G�-m,�i.0 i►- ' <br /> �� _ k. <br /> � �� <br /> � � - <br /> �•� - <br /> ' _ <br /> � � <br /> �.� SIGNED : � DATE <br /> ' NOTES AI�D COMME 5: <br /> I � � <br /> \ <br /> 6/?0/B7 <br /> 1928H <br />