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.-- <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATIOiV <br />JOB ADDRE55 <br />TENANT <br />FROPERTY OWNfft <br />,-�, <br />DATE: l/��v�ZS / <br />FEE: �75� °� <br />ELECTF?ICAL CONiRACTOR 1 �;U�� <br />LICENSE N0. EXPIRATION DATE <br />ADMINISTRAiOP, PHONE tv0. 3-7 � I�� <br />VALUE OF WURK ��� (do not include tar.es) <br />(Por commerci�c� <br />USE OF BUILDING <br />U <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 show the State-approved plans <br />before a City of Ev�rett pezmit will be issued. <br />WORK TO BE DONE: <br />6/10/87 <br />1928H <br />