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,-- <br />CITY OF EVERETT <br />ELECiRICAL WIRING PERMIT APPLICATION <br />JOB ADDRE55 <br />7ENANT <br />FROPERTY OWNER _ <br />ELEC7RICAL CONTRACTOR <br />DATE: �� I` C c�'_ e�� <br />FEE: � �� I /. �i-- <br />� . \. be�,� �c,(�tiE ��T <br />� <br />LICENSE N0. �%� �P tc��Cl' /o26v� EXPIRATION DATE /�Z ��i/ ` `�� <br />ADMINISIRATOR fiT_�i??2-`�`� PI10NE N0. 7'%J -�i�-��� <br />VALUE OF WORK �� C��- (do not include taxes) <br />(for comnerciaiwork , <br />USE OF BUILDING <br />NOTE� WAC 296-46-140 requires that plans for elect:ical work at educational, <br />institutional cr 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 wil: oe issued. <br />WORK TO BE DONE: <br />$IuNED : _ DATE _ — a l `- � <br />NOTkS AND COMMENTS: <br />6/10/87 <br />1928H <br />� <br />