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CITY OF EVERETT <br />ELECTRICAL WIAING PERMIT APPLICATION <br />JOB A�DRESS 7� �� ��` <br />1EN.ANT <br />PROPERTY OWNER � �. XEy <br />f <br />DATE: ��/�/�� <br />. . r FEE: ��_ <br />� /a�rr � , <br />� GUn ���G.� <br />ELECTRICAL CONT�tACT�R Sctnne "— <br />LICENSE N0. EXFIRATION DATE <br />ADMINISTRATOR PHONE N0. 3S� ��v y <br />VALUE UF WORK �ido not ircluCe taxes) <br />(Par com�erci work <br />USE OF BUILDING <br />��� insti� ti n 140 or e health tcare PPacilities e bect app oved r byatthe u5taten?oP <br />Washir�gton. 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 />5 <br />SIGhED : � � DATE 3 � �� — <br />NOTES AM� COMMENTS: <br />6/10/87 <br />1928H <br />