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CITY OF EVERETT DATE: <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />'CB ACORESS 2 3 /S GAS �U <br />TENANT G � G , <br />PROPERTY OWNER _ �JO�J GdP�t�Nu <br />ELECTRICAL CONTRACTOR <br />LICENSE NO. ((32 EFIRATICN DATE .4 7�B`l <br />ACMINISTRATCR SY-tOc .�S ;�21 L PHONE NO. _ `f43--q <br />VALUE OF WORK _Tr-b'1v-�' (do not include taxes) <br />(`or commercia warx) <br />USE OF BUILDING <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 -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED : <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />(of TTp1-;neA&r1 <br />DATE <br />