Laserfiche WebLink
CITY OF EVFRETT <br />QECTRICAL WIRING PERMIT APPLICATION <br />JOB AOORESS <br />TENANT <br />FROPERTY OWNER <br />7 <br />� <br />oATE: �> � z 3 -�'7 <br />� <br />FEE: oZ'�J� <br />� <br />�l � �i .: t <br />o . <br />ELECTRICAL CONTriACTOR ���(� �� �+ ( C��-�,?'r C.%i�C'�l�� c' <br />LICENSE N0. �h �'- �l'(F� /,5 O/�� C_ EXPIRATION DATE � t�. -;3C'>.y,'�/ <br />AOMINI57RATOR ,„v� �/ �. !. n PHONE N0. 3 3 7.-; 7, �� (, '7 <br />VALUE OF WORK (do not include taxes) <br />(for commercia work � <br />USE OF BUILDING �� <br />-�. <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 />.� �` rJn�j � Sc` 1 f�` �ii�H E�7^ - <br />SIGNED : ,,:, i� � - l �/�' �-- DATE �' `J• <�3- S % <br />/ / <br />P10TE5 ANO CC�4MENT5:/� <br />6/10/87 <br />192811 <br />