Laserfiche WebLink
� <br /> I <br /> � <br /> I <br /> h1 �1 <br /> cxrv o� �r DATE: �uT .�7, l q 90 <br /> ELECTRICAL MIRING PERMIT APPI.ICATION FEE: �'7/3. 6b <br /> JOB ADDRESS � /"��o �/��• C.�/�S/i110 /1 d. BLDC� �2 <br /> TENANT G �C�. L-1 M/ T�D <br /> PROPERTY OWPER G PG (J M/T�� ` <br /> 0.ECTRICAL CONTRACTOR �--f �- ,EL..EGTip-1 Cr l N G • <br /> ELEC. CONTRACTOR'S MAILING AODRE55 '�oD/ CH�/•INAUt=/ BCI-f QD . <br /> LICENSE N0. LL.ELEI �' /� B�F EXPIRATION DATE 1 e't - ,�'/ ' '�/D <br /> ADMINISTRATQt �EE DIXON PFpNE ND. ��5-,330 � <br /> VALII[ OF WORK �5,�i�p��_ (do not inclutle texes) <br /> ; <br /> (for commercia wor< `T-- <br /> USE OF BUILDING A�p�TmEnTs - �9 v,v rTs <br /> ,,_ <br /> NOTE: WAC 296-46-140 requires that plans Por electrical. work at educational, <br /> institutional or health care Pacilities be approved by the State oP <br /> . Washington. Applicants with such ,�obs must show the State-approved plens j <br /> betore a City of Everett permit will be issued. � <br /> WORK TO BE DOrE: j� . <br /> �' <br /> 1.�i2E 1�� �q VN�I r A,�R�Tm�T p��z-1. <br /> � <br /> SIGNED : ��— DATE �.3� -�O <br /> NOTES APD CpYf�1ENT5: <br /> • I <br /> � <br /> � <br /> I <br /> I <br /> � <br /> I <br />