Laserfiche WebLink
CITY OF EVEFtETT <br />onrE: t_�6-�� <br />ELECTAICAL WIRING PERMIT APPLICATION FF.E: �� Ou <br />JOB ADDRECS ��� / /a 3'"� S/ S Cv <br />TENANT <br />PROPERTY OWNER � C on� ui d' �iif /ri Cb�. 1 yi'�c fi> r <br />ELECTRICAL CONTRACTOR �,.� f�i t� . 1�... .�/r� /�irc %'� c. <br />LICENSE N0. <br />ADMINISTRATOR <br />s yTl,�t= �[//�a ,� �, EXPIRATION DATE <br />/�'�� LLo�i.� r PHONE N0. ��yo7S3/ <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING /yPcti /��s 'r.�lr f� � ,/% ��P i <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be apprnved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />b=fore a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />J�/PGv �f/ y.-„ .. <br />SIGNED : ( �� /y�.�sls�'+ _ UATE S =�J �- � �� <br />NOTES AND COMMEN7S: <br />�:/lUi1'7 <br />7�.`:ii <br />