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CITY OF EVERETT pATt: alZ• /g� <br />ELECTFICAL WIRING PERMIT APPLICATION FEE: �S <br />�ae acoREss $I I Z ��/��y � ��D � G�' <br />TENANT `---- <br />FROPERTY OWNER <br />ELECTRICAL CONTRACTOR �jn��LINGC �-L• <br />LTCENSE N0. �j'�j�C,�(�� �� �'p EXPIRATION DATE 2• Z3• � <br />ACMINISiRATOR �D �E�L,�� PHONE N0. y-�j(� -4-�ZZ <br />VALUE OF WORK _ (de not include taxes) <br />(for commercia work i <br />USE OF BUILDING '�—'•ES , <br />NOTE: WAC 296-46-140 requires that plan=_ 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 />/'� ��I before a City of Everett permit will be is,ued. <br />5� <br />I' 410RK TQ EE DONE: <br />��� <br />��� <br />2D0 � 5E�-JI �E. <br />�� <br />SIGNED : G�l � DAiE � • 2' �� <br />a,��( NOTES ANO COMMENTS: <br />E/10,�87 <br />1922H <br />