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CITY OF EVff2E7T DATE: �" 25 ��iS <br />ELECTRICAL WIRING PF]ZMIT APPLICATION <br />JOB ADDRESS '/% / �/ H � <br />TENANT <br />FEE: <br />PROPERTY OWNER �y_'' �v/�'1 v`- � ��Li. <br />EIECTRICAL CONTRACTOR �¢ Q FL t G 7-L / c_ <br />LICENSE N0. ��,1� Z�[,/?�llj EXPIRATI�N DATE <br />ADMINISiRATOR �,/G SG�,�G���� PHONE N0. ��L - -IJ�fI/ '�J <br />--r-------- <br />VALUE OF WORK `� (do nct include taxes) <br />(for commercia work) <br />USE OF BUILDING � �/,y� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be appro��ed 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 />SIGNED :�_/�,[1!f„�il, /;�Yi�r,�rf.tfiLL_ DATE �- L 5 df� <br />NOTES !!ND COMME'JTS: <br />6/10/87 <br />1928H <br />