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CITY OF EVERETT <br />ELECTRICAL WIRiNG PEFtMIT APPLICATION <br />JOB ADDRESS _ <br />TENANT � <br />Pf20PERTY OWNEFt _ <br />ELECTRICAL CONTRACTOR <br />�-Q <br />// <br />DATEt ��� � ( � � � <br />FEE: 2Zb� <br />/l.�i✓ /�o� �'2� / <br />.of' <br />r� <br />69'4 $ � N ._ <br />� L�f L <br />LICLNSE N0. L t�/�'l 1//3�,3 C(� EXPIRATION DATE Z 3/ p� <br />ADMINISTRATOR D?J�'1/ / �.Sl� PHONE N0. �.3 S'— 2.3 �� <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING %�,O SC l{�./iniGP <br />NOTE: WAC 296-46-140 requires 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 />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />/�( .� SL <br />.� — <br />Da�1- � �T <br />SIGWED : �/ `;"v v�i�-'�c� DATE � ���'�% <br />NOTES AND C��4MEMS: <br />6/10/87 <br />192211 <br />