Laserfiche WebLink
CITY CF E4'�?ETT DATE: /•/.3 •� j <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: .���j ��� <br />JOB A�DRCSS %�� S� �IJvF��GlZ�"�s,tJ�..:,�c1 SUi%�G y.�U� <br />TENANT ��� / <br />I�tOPERTY ON'NER %lS <br />ELECiRICAL CONiRACTOR Cp`�/,rJS l����l' •��/y ,rJ/c�cEJi1SQ'iU 5�%T/� <br />LICENSE N0. �Q/�j�C �S/N!Z EXPIRATION DA?E <� �d • �j�j <br />A�MINIS7RATOR �p��/� �,5�-(0 � L' PHONE N0. ,� �� • y// � <br />VALUE OF WORK -<� ,n � (do not include taxes) <br />(for commercia work <br />USE OF BUILDING S�jtJDLeJ/C.`� , 5'/`i0A <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 />Washington. Applicants with such jobs must shotiv the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE �ONE: <br />SIGNED � �j�Ir� '�' � ��,, DATE -�i�•/�•�S <br />� � . <br />NOTES AND COMMENTS: <br />6/10/87 <br />192EH <br />