Laserfiche WebLink
�, � <br /> � <br /> i <br /> � <br /> R `� <br /> � <br /> � I �`;y <br /> CITY OF EVERETT DATE: � //��7 -:...�1 <br /> ELECTRICAL WIRING PERMIT APPLICATION ` FEE: <br /> _y4 <br /> JOB ADDRESS ��(i'X/ � 5 `�Jf� '>t <br /> T�NANT 'u�'�� <br /> — i _ <br /> Ff',OPERTY OWNER ,t2��/!tn _�,6,�,i sd- � , <br /> / � ';:;.:�. <br /> ELECTRCCAL CON7RACTOR �b �S �(P��i�. � '��" <br /> I ; <br /> LICEi.!:E N0. ,�/� SF �29��� EXPIRATZON DATE //�'�j ' <br /> ADMINI5'11ATOR � e,� �_�_�-r�� PHONE N0. �3•/ (�3/ I <br /> VALUE OF WORK �..���� (do not include taxes) � <br /> I� <br /> (for commercia work <br /> USE OF BUTLDING ��r>z <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 sho�d the State-approved plans <br /> ber"ore a City of Everett permit will be issued. _ <br /> � _ <br /> I <br /> WORK TO BE DONE: I <br /> 1 h] I w �nY-� I/�U S� , �� <br /> 1. <br /> � ,'•'l <br /> tl� <br /> I `� <br /> SIGNED : /�I-'(a,e.,5y��.�.,G�n DATE �f/� ��}' � <br /> r <br /> NOTES AND COMMENTS: <br /> _ c:<+� <br /> 6/10/87 <br /> 1922H <br /> I <br />