Laserfiche WebLink
CITY OF EVERETT DATE: /D -��" U J <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: ,� � <br />JOB ADGRESS C� (jO �.C/ � / J"q' � �2" • <br />TENANT ,�i i/c=YS <br />PROf ERTY OWNER <br />ELECTRICAL CON7RF <br />LICENSE NO <br />ADMINISTRATOR <br />J�%C' /: /�S E .ia /�_ EXPIRATION CATE <br />�/� �h`i1��✓«rcY PHONE NO. _ � r.5�-/q/� <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUI�DING J("�S/ <br />NOTE: WAC 296-46-140 requires that plans for electrical wcrk at educational, <br />institutional or health cere 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 wi�l be issued. <br />WORK TO BE DONE: <br />SIGNED : ���'?AoY� et.��s� _ DRTE IO - / % --��� <br />NOTES ANG COMMENTS: <br />6/10/87 <br />1928H <br />