Laserfiche WebLink
i <br /> CITY OF EVERETT DA7E: �/.2� a 9 <br /> ELECTRICAL WiRING PERidIT APPLICATION <br /> FEE: y h�c�—� <br /> JOB ADDRESS ���3 � /�� '' � <br /> TENANT �'..' "'��'-�— � 'r �'J <br /> FROPERTY OWNEFt Y <br /> ELECTRICAL CONTRACTOR i7� /i-Y �.Q' � ����� <br /> LICENSt N0. � �//T/'G �-° /7LMG EXPIRATION DATE ��?n /�9 <br /> � ,/ FHONE N0. �+-� 78 « <br /> AGMINISTRATOR �r ,_�L� �++ �P r" <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work ' <br /> USE OF BUILDING _�y�� r <br /> NOTE: WAC ::36-46-140 requires that plans for electrical work atthe u5tatenaof <br /> institutional or health care facilities be approved by <br /> Washington. Applicants with such jobs must show the State-approved plans <br /> before a City of Everett permit will be issu�d. <br /> WOFtK TO BE DONE: " <br /> 1 SIGNED ` ' " � C � -�-ri -^.� DATE !�=Z/a � <br /> NOTES A�'D C�t4MED1T5: <br /> 6/10/87 <br /> 192EH <br />