Laserfiche WebLink
�';_''v, <br />:�J�( , <br />�� �� ' <br />�J�' <br />�(' <br />i i� <br />� '. <br />CITY OF EVERETT � DATE: �„ �c� ('�� /�, . I G7 ,�s' �I <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />JOB ADDRESS % !� � 'Z 'S � .E � 9�/I �� l�I�l,4� �� � �� <br />_�f <br />TENANT J�/.�'�[�/2. ��i�7�� ' �-� «'� - �� / � /'3 <br />PROPERTY OWNER 'S',�r, � <br />ELECTRICAL CONiRACTOR G/� -� G„G� ,E��li G-�j ,�' i�: �� L Gr� <br />LICENSE N0. C_.,�t� - (�,.(,)/�S �/�l!��XPIRATION DATE � � �/ �i� <br />ADMINIS7RATOR �C�i -T G� � - PHONE N0. �7/�_ � �� �CS <br />VALUE OF WORK �` ��� (do not include taxes) <br />�for commercia work <br />USE OF BUILDING � G �-�� i � Fj' <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 show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />�' /L�c� �i/�-LC, �J'n J•i l'I�1 G <br />� i �]t i/ G' n % %77 ,�7 � r' i lirJ .E✓T� `� ..G /' `�� 1 <br />SIGNED : ���II-/ ��%� t�Q DATE ��/ ���" `% <br />NOTES APID COMMENTS:/ <br />6/10/87 <br />1928H <br />m <br />