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CITY OF EVERETT DA-E: //- i' - l <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER /l_„ <br />ELECTRICAL CONTRACTOR <br />LICENSE NO. /;" C 6-1 %L /5 (i )�; C /= EXPIRATION DATE J � / <br />ADMINISTRATOR PHONE_ N0. <br />oc� <br />VALUE Q WORK E D C) r (do not include taxes) <br />(for commercia work <br />USE OF BUILDING,,,,, <br />NOTE: WAC 296-46-140 requires that plans for electrical wor' 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 />WOF.K TO BE DONE: <br />SIGNED : �,_. �_ DATE <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />