Laserfiche WebLink
� <br />CITY OF EVERETT DATG: � I � I Z �% <br />ELEC7RICAL WIRING FERMZT APPLICATZON FcE: _ ��� <br />�OB RODRE55 ) 2 Z Z—I � O y I <br />.� <br />�NANT N0� � <br />FROFERTY OWNER /�f^� ('�{ �27{ <br />ELECTRICAL CONI�tr ACTOR S�n � <br />LZCENSE N0. <br />EXPZ?AT�CN DATc <br />ADMINISiRAI'OR �S'IXnL� FHONE N0. 2 S L-( `/G ) <br />I,x.� � + <br />VALUE OF WORK ,3��v� r'�%«;.�/ (do not include taxes) <br />(for commercia work) � <br />USE CF BUIL�ING �eSi Utr�-�T'a� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be appr.oved by tfie State of <br />Y�ashington. Applicants with such jobs must sh�:i the State-zppr�ved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIG� �ED :�� v-�� DATE /� / Z <br />MOTES AP1D CCtAP1ENT5: <br />6/10/87 <br />192PH <br />