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CITY OF EVffiETi DATE: :/�.�i';:r <br />ELECTRICAL WIRING PERMIT APPLICATI�N .. FEE: �cJ � <br />JOB AO�RE55 � �-� ;,�, _ /�� � ..� /� �; /� ',� .� �vi;:f' <br />TENANT <br />PROPERTY OWNER <br />� <br />����/h �� '• �% i'c�_� <br />F1ECIRICAL CONIRACTOR Q�l �NCl� <br />LICElSE N0. <br />ADMINISTRATOR <br />EXPIRATION DATE <br />PHONE N0. � c3S��4�`(� <br />VALUE OF WORK (do not include taxes) <br />(Por commerci work <br />USE OF BUILDING S ��, <br />NOTE: WAC 296-46-140 re�,uires 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 />bePore a City of Everett peimit will be issued. <br />WORK TD BE OONE: <br />,� , , � �. <br />/, � :�r.' .=i,"Pi-,.i'.� l%i'_,�✓LNi1 <br />✓- <br />SIGNED : �^ . -i' � i�,•. / /i t�'�. ��••� DATE <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />' i4,� <br />' %� ��fa' <br />�� <br />