Laserfiche WebLink
CITY OF EVERET? DRTE: �/- �- �� <br /> � °_� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: ,3v <br /> J�B ADDRESS �7�8 �Jj3y✓If'v LA�L <br /> TE\ANT <br /> FRCPERTY OWNER m✓5. c'`m✓a �ArYt'� <br /> ELE�TRICAL CONTRACTOR �jQ,AN1 � �' . � <br /> LIC�NSE N0. C,PAN/E/ Z F3 CC EXPIRATION DATE _�'��' <br /> ADuINISTRATOR _ /��j �4.�*�G(/ PHONE N0. ��� C{L/3( <br /> VALUE OF WORK (do not include taxes) <br /> (Por commercia work <br /> OD W � / <br /> USE OF BUILDING _��!dOIT f <br /> NOT`: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State oP <br /> Washington. Applicants with such ,jobs must show the State-approved plans <br /> bePore a City oP Everett permit will be issued. <br /> WOfiK TO BE DONE: <br /> iy100;/GA/e- �,c , ,�%� <br /> ����o <br /> SIGVED : � -/1���n ,� .�Ctc�[�u-�r,. OATE /�� p�� � <br /> NOiES APD COMMENTS: <br /> ��- �:� �f�4�...� �.v �Ci y iN �++ T/� h's1s�[' ^ <br /> 6/:0/87 <br /> 192°H <br />