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CITY OF EVERETT DATE• / Z - `-� - ;S�7 <br /> ELECIRICAL WIRING PERMIT APPLICATION FEE: ,�� � <br /> �7 i, <br /> JOB ADDRE55 � / / G C � � �/ <br /> TENANT <br /> PROPERTY OWNER �I/ /�-- � <br /> E1ECiRICAL CONTRACTOR �I'7T�,S �/`� e [= <br /> LICENSE N0. C� . I � iZ . EXPIRATION DATE �2.- T/ � <br /> ADMINISTRATOR �'J� L 'Z'��'�^� P�-�ONE N0. ��l '��`��� <br /> VALUE OF W�iK (do not include taxes) <br /> (for commercia work <br /> � ` � <br /> USE OF BUILDING � (�S//T 6'n�i k.� <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 pezmit will be issued. <br /> WORK TO BE DONE: <br /> i�t�i,�e�f c l r2 ��z�S <br /> i , <br /> � SIGNED : �-'� � � I�'C l��L.iy_ � DATE � �� � � � <br /> NOTES APD COMMENTS: <br /> 6/10/87 <br /> 1928H <br />