Laserfiche WebLink
�-. <br />CITY OF EVERErf <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS a.� i s- <br />TENANT <br />::�1a: � ��.�: <br />/V� <br />r.. <br />DATE: /� / � � � � <br />FEE: <br />u�c; �'�ea ��J <br />ELECiRICAL CONiRACTOR �� � 1L�, � ��,(1�1' � 4i <br />LICENSE N0. �•�Vt C� C/ YS /v 0 EXPIRATION DATE ��/ ��J <br />ADMINISTRATOR cS,�� �/ � � �f�1Gt,(� PHONE N0. lo Sf=Qf�.�`/ <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or heaI.th 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 peimit will be issued. <br />WORK TO BE �ONE: <br />SIGNED : �/H.GZ.> DATE � � �� <br />NOTES AhD COMMEN S: <br />6/10/87 <br />1928H <br />