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� <br />CITY OF EVERETT DATE: <br />_ � <br />ELECTRICAL WIRING PERMIT APPLSCATION �E: ���� � <br />JOB A��RESS '.'� ,. /;,�,.,,1� .�", /.��� 5�f<�i,�,�� <br />TENANi <br />PROFERTY OWNER , ��ri. �i'r ', /ii'� 1� ._ - --. <br />ELECiRICAL CONiRACTaR �u�(�(� <br />LICE�ilSE NG. <br />ADMINISIRATOR <br />EXPIRATION DATE <br />PHONE N0. > <� ����i�t`-t� <br />VALUE OF WORK (do not include taxes) <br />(Por cemmercia work <br />USE OF BUILDING S � '� <br />NOTE: WAC 295-4b-140 xequires that plans for eler_trical work at educational, <br />irstitutional or health care facilities b� approved by the State cP <br />Washir�gton. Applicants with such jobs must show the State-approved plans <br />hefore a City of Everett peimit will be issued. <br />WORK TO BE D9NE: � , <br />-� <br />� %�. ; '�'i![i -l.'/'/_'/i'A�. : Ii; .•ilA.ic� �� <�� . �:�� i.i. " � 11 .�/,�7'. 1 <br />— r i <br />SZGNED : �' . r% � �i�rti �i � .. ,,.._- DATE ' �' ����' <br />NOTES ANO COMMENTS: <br />6/10/87 <br />192EH <br />