Laserfiche WebLink
(� <br /> CITY OF EVEFtETT � oA�. - ay --ao <br /> ELECTRICAL 'NIRING PERMIT APPLICATION �E� ' <br /> JOB ADDRESS l�� �� �C� - � <br /> �riaNr �;rPn�t l�.)s.o� ��,m�o/� I�')�h(��um.W <br /> PROPERTY OWNER n ��i� �)�Z ,"/I <br /> . n � <br /> ELECTRTCAL CONiRACTOR , I) C I 7P, <br /> LICENSE N0. N�il�F� Ia(�I _ EXPIRATION DATE I�'`1 ( / ! <br /> ADMINISTRATOR ��f (�)(�P� �A �. fS (r� a rd� PHONE N0. �� �-� 73 � <br /> VALUE OF V.'7RK q , � <br /> ^ � `' (do not include taxesl <br /> (for commercia Ncrk <br /> USE OF BUILDING Ra�(a I I ����i t" � <br /> NOTE: •,?.0 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Wash'_ngton. Appli.cants with such jobs must show the State-approved plans <br /> befcre a City ef Everett permit will be issued. <br /> WORK TO BE �ONE: <br /> �CI I1P�t _ %�r ` ^ ti <br /> n � ' <br /> / _� �j <br /> SIGNED : r„ - � � JC9 .� DATE 1 -��Q �O <br /> NO?ES AND COMME�TS: � <br /> 6/10/87 <br /> 192EH <br />