Laserfiche WebLink
CITY OF EVERETT <br />DATE• �G�` ����G <br />ELECTRICAL WIFTNG PERMIT AFPLICATION Ft�: _ <br />.:ca aocRess /Q �l � �'� Or S C—. _•�= �> P ic 7� <br />TENANT �lf IU�4 d' ��+i��n, _. <br />FftOPE�TY OWNE� �j�q�rr� <br />�EC7RICAL CONTRACTOR %�d-/� �(ec{aiL <br />L� CEP15c NO . ,%�(�f EL C�6 G I1-� Gj E;(P�4ATICN DATE _ <br />ACMINISiRATGR � PHGNE N0. 12�Z --�7�{��j <br />VALUE OF WORK /`j(Xj. = (do not include taxes) <br />(�or ccmmercia_ worx! <br />USE OF BUILDING /L_C S <br />NOTE: WAC 296-46-140 requires that plans for electr=cal work at educational, <br />institutional or health care faciliiies be approved 'oy Yhe State or <br />Washirgcon. Apolicants w_th suc:� jobs mus� show the State-approved plans <br />before a City oP Everett pe:mit will Ce issued. <br />WCRK TO BE DONE: <br />SIGUED : ��I' !� � _�h� , � � DATE ,�-%Ff-�f ,--- - <br />�_— <br />NOTES AND COMME^1T5: � <br />6/10/87 <br />1°22H <br />