Laserfiche WebLink
CITY OF EVERETT DATE: IVnJ %ro f �R��I <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: _��/� <br /> � �oe a�oREss 37�G /�n c�D wA�% —t����7T <br /> TENANT �/�.P-e�tj ��1/9G�5'�� <br /> �- PROPERTY OWNER Sr17�� +� <br /> E1ECiRICAL CONTRACTOR <br /> LICENSE N0. E�(PIP,ATION DATE <br /> ADMINISTRATOR PHONE N0. �5 Z - S/9Z <br /> VALUE OF WORK � d2 S� �� . (do not include taxes) <br /> (for commercial work <br /> USE OF BUILDING $y� �pc�r� S%/�%) __ _ <br /> NOTE: WAC 296-46-140 requires that plans for electrlcal work at educational, <br /> institutional or health care facilities be approved by the St2te 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 /> ii✓sr-,�c� s�o,arr�d -Z[�v�� ��er,� �3a� �=c�.c- G,�.lts ,r� <br /> �sa o G�� N�uv-��c. <br /> 5IGNED : f'�/i'.�i� %�C-i� DATE /�/ul -�� <br /> NO?ES AND COMMENTS: <br /> 6/10/87 <br /> 192EH <br />