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CITY OF EVEREl7 � DATE: 4''Z`"j-�J <br /> ELECTRICAL WIRING PEAMIT APPLICATION �E; �j G <br /> �- <br /> �os aooRess 33�:� Gas��� tz <br /> TENANT _�Ei�1C� �� - 5�I <br /> FROPERTY OWNER _B�E In1 V <br /> ELECTRZCAL CONTRACTOR �pT ��c�2�7Y ;`t�STLI'h -S <br /> LICENSE N0. qpT5E5 l I S B� EXPIRATION DATE __� - q � <br /> ADMINISTRATOR ��KC �in1��N�NM-� P�'ANE N0. _�e1y -�, �U3 <br /> VALUE OF WOHIC 13,p�-,g (do not include taxes) <br /> (for commercial work) <br /> USE OF BUILDING SZU2qc-�E <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 I <br /> Washington. Applicants with such jobs must show the State-approved plans <br /> before a City of Everett pezmit will be issued. � <br /> WORK TO BE OONE: I <br /> L- � UUL�TAC'�t A�C-42�1-� <br /> �I <br /> '�.� + /' <br /> SIGNED : 1� _ � �_ � .�-�' DATE '�t � 2 v-�1� <br /> rrorEs ann cor��rs: <br /> i , <br /> 6/10/87 <br /> 1928H — <br />�I I <br />