Laserfiche WebLink
� �' <br /> . <br /> CITY OF EVERETT DATE: �� � �-(' � <br /> ELECTRICAL WIRING PERMIT APPLICRTION FEE: <br /> JOB AODRESS � I b � S l� bH E' ���-' <br /> TENANT <br /> 1 <br /> PROPERTY OWNER � <br /> ELECTRICAL CONTRACTOR �' Dti(.57� <br /> ELEC. CONTRACTOR'S MAILING ADORESS <br /> LICEPJSE N0. EXPIRATION DATE <br /> ADMINISTRATOR PHONE N0. '�)� >' � :"?��<�.J <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia wor <br /> USE OF BUILOING � ��I � <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 /> VIP� I �� �v � — � .� « � , �%�s � i� '�I 'rF ��c�Ci��.��� <br /> � <br /> / � J � DATE � � � - I� � <br /> SIGNED : !�t/ ���td� <br /> � <br /> NOTES AND COMMENTS: <br />