Laserfiche WebLink
� <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />DATE: � ` " � <br />FEE : � ��� � <br />�� <br />JOB A�DRE55 5 l 3 3 � Ov �%� � �'cl p e., •�oo�r� k� �� i� <br />TENANT n� lil' — <br />PROPERTY OWNER '" ` � � �' � �� C��'�/ �� <br />ELECTRICAL CONTRF�TOR S��A-IJ r� rC ��%. _ <br />L ICENSE N0. Ltx�✓h �c � f 69 �� EXPIRAT?ON DATE _ i�- (-�% <br />ADMINISTRATOR L-CJD/hl �«1 • �F%� PHONE N0. �(�V ���%.� _ <br />T ! OGW"�� S <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILOING ���� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional oi• health care facilities be approved by the State of <br />Washingtcn. Applicants with such jobs must show the State-approved pla�s <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED : <br />NO <br />6/10/87 <br />192211 <br />�o�e2 pol <br />DATE _�� � � <br />