Laserfiche WebLink
CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATIQV <br />P""' , <br />DATE: z - I� - `r0 • _ <br />FEE: 3s� <br />JOB A�DRESS � I o S I'-r �`J � j �,u eST �� G� m� <br />TENANT <br />FftOPERTY�OWNER � � �K«.�ers <br />ELECTRICAL CONiRACTOR �cssn.,�.1 ilacT <br />LICENSE N0. ��s�w��-i �41c-� EXPIRATION DATE lo- 3 0-� l <br />ADMINISTRATOR � p.,-. �.SSM,� PHONE N0. �5� S�z� <br />VALUE OF WORK ido not include taxes) <br />(for commercia work <br />USE OF BUILDING � k'Jk � � es . <br />� NOTE: WAC 29C-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />-- -� .--: - <br />Washington. _Applicants wit� such jobs must show the State-approved plans <br />before a City�of Everett pe:nit will be issued. � � - <br />WORK TO BE DONE: <br />� �r� -n2 �c � a. '�-- i •d- 1-'� i w <br />SIGNED : � �b��� DATE � - I6- rv . <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />