Laserfiche WebLink
�� � <br /> A � x ' <br /> C H <br /> 9 H V� <br /> y <br /> y H <br /> fC f] <br /> H �f <br /> � H � � . .c,� I"'-.� <br /> Cn H <br /> � .3� CITY OF EVERETT �� /� �7��� <br /> DATE: <br /> OH <br /> �� � ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> a y� �OD � "�-' ",-G%- <br /> 4 <br /> �y y H JOB ADDRESS ��F S <br /> O <br /> n�y <br /> �C�� r TENRNT <br /> t� PF20PERTY OWNEFt f�y�lS/-f lO <br /> HO � <br /> ELECTrtICAL CONTRACTOR �j��J�1 FCr/PI G <br /> LICENSE N0. `G ��/?� //� EXPIRATION DATE <br /> ADMINISTRATOR ��i9'�'/Lf jl'�j�i��C'� PHONE N0. ���'"�� lJ <br /> VALUE OF WORK 7 �j Q� (do not include taxes) <br /> (for commercia work <br /> �,, „� , ,.�,. G���' <br /> USE OF BUILDING �'�) �� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educationzl, <br /> '"1 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 /> i j WORK TO BE DONE: <br /> � <br /> - %/).'J .� / . /'!a�� . .%/i �� <br /> i � � ,- '' C� / <br /> / J � i <br /> 1 <br /> �' � <br /> � � <br /> � � <br /> ��� <br /> � <br /> � <br /> � � n i.�: '.-� /� <br /> � � SIGNED���i./"9 � i-'�G��G'��`_ DATE _� <br /> � i / ^ <br /> - - riorEs arro cotnr�er�rs: �,�' <br /> 6/10/87 <br /> 197_EH <br />