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CITY OF EVERETT � DATE: __� � Y <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: f �� <br /> �oa a�oREss �� �Z �f/�E' Y � v E <br /> TENANT <br /> FROPERTY OWNER � <br /> ElECiRICAL CON7RACTOR � O�c� ss L� <br /> LICENSE N0. �//��� � D OG �{ EXPIRATIDN DATE <br /> ADMINISTRATOR � � T�L �_S�� PF'ANE N0. ��j 7 �z y � <br /> . <br /> V�LUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILOING �S �_��/i <br /> NOTE: WAC 296-46-140 requires that plans for electrical wcrk at educational, <br /> institutional or health care Pacilities be approved by the State of <br /> Washington. Applicants with such ,�obs must show the State-approved plans <br /> hPfO:� a City of Everett peimit will be issued. <br /> WORK TO BE DONE: <br /> ��f �U�ti � w �� <br /> SIGNED : ??� DATE — / / �� <br /> NOTES AhD COMMENTS: <br /> 6/10/87 <br /> 192BH <br />