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r ( , <br /> . <br /> CITY OF EVF3iETT DATE: j5 /�i�� ---- <br /> EIECTRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADCRE55 /�/-� �Osc.adm � r <br /> TENANT � r ,i c C �.• ✓e r a o., <br /> FROPERTY OWNER " •. <br /> ELECTRICAL CONT2i ACTOR �„� ,-Z��Q �(�, �C �a..'Y. �N �- <br /> LICENSc N0. UN/TCSGC / 9'L .�4 C EXPIRAT?ON DATc /n /�e ��— <br /> ADMINI57RATOFi RG�t(sr l�a.., .,.. rr ='ONE N0. ',jj,j �J'8 // <br /> VALUE OF WORK (do not includc taxes) <br /> (for commercia worK • <br /> USE OF BUILDING %�c� ic(�„< < <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-appxoved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> ��7T �O� !7� $��r v��� ,• <br /> SIGNED • :���� ��i �=����___ UATE �/���� <br /> i�-, � <br /> PIOTFS AP� CCtAMENTS: <br /> 6/lU/87 <br /> 192:I f <br />