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� ( <br /> CITY OF EVFRETT DATE: p�9 <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: a5� <br /> JOB ADDRE55 � � � L"�iNC�C YL J�17� . <br /> TENANT <br /> PROPERTY OWNER _�SS b�_ �04►'1�"S �L.�� • <br /> ELECIRICAL CONiRACTOR ('yp��,r <br /> LICENSE N0. EXPIRATION DA7E <br /> ADMINI5IRATOR �.� � ��I(1 �`X�1Q1,11 PFpNE �A. _a����7� <br /> VALUE OF WOHK (do not inc.lude taxes) <br /> (far commercia wor <br /> USE OF BUILDING A�'6 Y. ) �'b�� _GQ=�t <br /> NOTE: WAC 296-46-140 requires that plans Por electrical work at educational, <br /> institutional or health care Pacilities be approved by the State of <br /> Weshington. Applicants with such �obs must show the State-approved plans <br /> before a City oP Everett peimit will be issued. <br /> WORK TO 8E DONE: <br /> - �— �_ <br /> t <br /> SIG�ED : DATE <br /> NOTES ArD COMMENTS• <br />�`' <br /> 6/10/87 <br /> 1928H <br />