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CITY OF EVERETT <br />ELEC7RICAL Wi�ING Fffu!IT AFPLICATICN <br />% / / �/ / <br />DATE: <br />��. <br />JOB A�UnESS _� ( � �t'' /� 5 � /�� t !// <br />TENP.NT { ��e. ,r� �',� r �,.� <br />FftOPERTY OWNEFt <br />ELECTRICAL CONTRACTOR <br />EXPIRATION DATE <br />LZCENSE N0. - <br />FY,ONE N0. � �- � � �' ' � <br />ACMINISTRATGR <br />VALUE OF WORK (do not include taxes) <br />�for commeicia woik) <br />USE OF BUILDING <br />��i c <br />NOTE: WAC 296-46-140 requires that plans fnr electrical work at educational, <br />institutional or heaith care facilitie;; Ce approved '�y the State of <br />before9a�City�of lE erett pe:-nit ��Nill be ims�ed show the `cete-_ooroved plans <br />WOP,K TO BE DONE: <br />i� / ` / ` <br />% �",� : � DATE � / 5 / �I <br />SIGNED : = ' �- ` "'z,,,.'_ ` __ <br />� <br />P10TE5 AMJ COMMENTS: <br />6/i0/87 <br />1422ti <br />