Laserfiche WebLink
CIl'Y OF EVE32E'� <br />DATE: I- I LD - c� C' <br />ELECP3ICAL WIRltv� PERMIT APP�ICATION <br />�06 aooR�ss (s� �l l 1 6�f21� 5 H-� 2E <br />r�i�aNr <br />FftOPERTY OWNE? S F�'M <br />�N� <br />FEE: 3 S , (jZ� <br />E1-ECTRICAL CONiRACTOk S�-}�,ti �LSi �L�--12, t �, — <br />LICENSE N0, S�HtA E i ��(''1 KI� _ EXPIRATION DATE <br />ADMINISTRA70R 5 i{Y�/V � � f��:�l.( (Z/� f pHONE N0. ZS 0—� ��'p ? <br />VALUE OF WORK j� ldo not rnclude taxes <br />(Por commercia work <br />USE OF BUILDING RE� 1 O� N� <%� <br />-----__—,_. <br />NOTE; WAC 296-46-140 requires that plans for electrical work a*,. educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />U PC�k/�YGE <br />'f� R.�E►2 <br />SIGNED : <br />6/10/37 <br />1?2�H <br />S�Rvtd� <br />T`/ P E , <br />, <br />i,U Z �� Am r°' <br />3 5, cr�u <br />DATE � "- / � - `1 C% <br />