Laserfiche WebLink
CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />//L/G/ <br />DATE: lilt <br />FEE: 1(=— <br />JOB ADDRESS <br />%Uq <br />La_r <br />ry� <br />TENANT <br />PROPERTY OWNER <br />J co <br />1����N�\C <br />`fiid 771t11 <br />ELECTRICAL CONTRACTOR <br />o w rem <br />9xz ¢� <br />LICENSE N0. <br />EXPIRATION DATE <br />ADMINISTRATOR <br />PHONE NO. �33 <br />VALUE OF WORK <br />(for commercia work <br />- <br />(do not include taxes) <br />USE OF BUILDING <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 />7e ya O we <br />SIGNED : _ A <br />NOTES AND COMMENTS: <br />6110187 <br />1928H <br />DATE Z//JZ/a r <br />