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� � <br />CIT" OF EVERETT DATE: �� /(� � <br />ELECTRICAL WIRING PERMIT APPLICATJON FEE: 3S <br />�. � a <br />�oe a�oREss �5 I l2 �L-�/��� � W D. <br />TENANT --�— <br />FflOPERTY OWNER �j�� � �'1'�}�S <br />ELEC7RICAL CON?RACTOR '�j"j'E�u�(„� 'GL . <br />LICENSE N0. ��TkKI.�� l�{ZNi� EXPIRATION DATE T� `�D <br />ADMINI57RATOR €� Q,'�C� PHONE N0. Q�(c � L}�j 2Z <br />VALUE OF WORK (do not include taxes) <br />(Por commercia wnrk <br />USE OF BUILDING �S . f�l�� <br />NOTE: WAC 296-46-140 requires that plans for electrical worl< at educational, <br />instituti�nal 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 Everett permit will be issued. <br />WORK TC BE �ONE: <br />217� � . SC��! I CE. <br />SIGNED : � ' OATE g 2 8� <br />NOTES AM COMMENTS: <br />6/10/87 <br />1928H <br />