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CITY OF EVFRETT DATE: S{- (, - S�7 <br /> ELECTRICAL WIRING PFRMIT APPLICATI�N FEc: � 2S � �d <br /> xe aooREss 3 3 i� l�� � �'� <br /> TENANT <br /> PFtOPERTY OWNER ��v� G'�.�., �c <br /> 0.ECTRICAL CONTRACTOR ��,u,�� � � s/rv� ��o�-, � �' <br /> LICEN;E N0. �r!✓;�( !3�13 c v EXPIRATION DATE <br /> AOMINISTRATOR �x�'+'� �� �c.. � PHONE N0. 2 ri • 9/9/ <br /> VALUE OF WORK (do not include taxes) <br /> (Por commercia work <br /> USE OF BUILDING Ly����-�• - �-� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at e=ucational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants with such ,jobs must show the State-app=�ved plans <br /> before a City of Everett pexrilt will be issued. <br /> WORK TO BE DONE: <br /> ��-.-f�_/.��� �LG <br /> SIGNED : �/"~ -� �ATE �" G <br /> NOTES ArD COMMENTS: <br /> 6/10/B7 <br /> 1928H <br />