Laserfiche WebLink
� � x <br /> C N <br /> 9 � � <br /> r <br /> y � .:�a .--� <br /> � �'� CITY OF EVERETT DATE: � - o�p ` �O f <br /> � x� nc <br /> � ELECiRICAL WIRING PERMIT APPLICATION FEE: ��`� <br /> e7 <br /> ON <br /> O <br /> [�l <br /> H" � JOB ADf`RESS I (�{�I Eve�rPP� �a�r��, 1u i {��. 3 � � <br /> � H <br /> � y TENANT �,�� I r�i�n�G�i,{ � <br /> � d y 1�20PERTY OWNER Cnra��ryr arfnPC'S <br /> ��� E�ECiRICAL CONiRACTOR SilO(C'II�CJ '�IQ/� <br /> H O Cn <br /> LICENSE N0. S NC)P F�S I a Cl R �-- EXPIRATION DATE ��� <br /> ADMINISTRATOR ��I f`�(l P� �A) � �(`11�A f'f'�S PHONE N0. �j�{ a ' p�3 1 <br /> VALUE OF WORK �7 �, �j��'� (do not include taxes) <br /> (for co�r�mercia work <br /> USE OF BUILDING {�Q�11JCI1 �,VYlO� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be zpproved by the State of <br /> Washington. Applicants with such jobs must show the State-approved plans <br /> ��' before a City ef Everett permit will be issued. <br /> ��� WORK TO BE �ONE: <br /> ►-1 Z����oU ��r,n �an� (' lic�nn�l �P�t��' ��ni� __ <br /> �.�o — <br /> ►—� <br /> ►_i <br /> �— <br /> ►—i �. <br /> o � <br /> �— ' <br /> � ; <br /> � � �, / n � <br /> 1 ' SIGNED : /fl�!i:.?� �/��'�/� DATE �-a�-�D ! <br /> �' NOTES AND CbMMENTS: , ! <br /> ' I <br /> _ _. � <br /> 6/10/87 <br /> 1928H <br /> ��'---------- — <br />