Laserfiche WebLink
CITY OF EVERETT <br />ELECT3ICAL WIRING PERMIT APPLICATION <br />DATE: ��- U r � �j � <br />FEE: <br />JOB ADDRESS _ / �f ,� ( ., Gj �� /�/� �j � f= U�2 /-� /�7� <br />iENANT ��I° /Il�.s-� d- ���Lt. <br />FftOPEi�TY OWNER _ ��qji�ti <br />EIECTRIf:AL CONiF2ACTOR /� ���(, r ��,�, L <br />LICE�S� N0. ��e( �: 2�� �-jGj EXPIRATION DATE <br />ADMINISTRATOR �� ���,��, PH�NE N0. /p,��z-�jfl� �/ <br />VALUE OF WORK Q(� — (do not include taxes) <br />(for commerciaTwork <br />USE OF BUILDING _ �� 5 <br />NOTE: WAC ?.96-46-140 requires that plans for electrical work at educational, <br />instituticnal or health care facilities be approved by the State oT <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett pennit will be issued. <br />WORK 'f0 BE OONE: <br />_�o�.�-��/� N� Givu�� U �S'��-� �vi�.-c� �<.- �aatir�-.� <br />SIGNED : ����+,h �l ,/I �iv,.e.y,,/� � ppTE <br />NOTES AND COMMENTS: <br />�� <br />� <br />6/10/87 <br />1928H <br />