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CITY OF EVEIiETT <br />DATE: s- I 7' o <br />ELECiFtICAL HIRING PERMIT APPLICATIDN FEE: riS � <br />JOB ADDRESS 'j `i . � / (�c I G �� �� '.' . ; i � <br />i r . <br />iED�ANT i�r'il %ill��"�7��?�'ir� <br />FROPERTY OlVNQ2 l�r°�� /Y/��r f�tice.v <br />ELEC7RICAL CONTRACTOR <br />lc <br />LICENSE N0. �� � L�� NS S I�l ,. �/� EXPIRATION DATE <br />ADMINISIRATOR � i'n � ��., O� . �/�'_ PHONE N0. � % `I ' l ! �� <br />VALUE OF WORK (do not include taxes) <br />(for commercia work � <br />USE OF BUILDIN6 _��(,' l, �'+'rLF S'F-�° <br />NOTE: WAC 296-46-140 requires that p12ns for electrical work at educational, <br />institutional or health care faciliries be approved by the State of <br />Washington. Applicants with such jobs must show t��= State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO 8� DONE: <br />� �'_��U f <br />A �. /^ �% <br />� ,� <br />SIGNED : ��C��. /�t �`'i„�,�'•,.,r���i �ATE - �'��� <br />/ � <br />NOTES APD COMMENTS: <br />353� 5y�z _�,_�,�c, , <br />6/10/87 <br />1928H <br />��lr�, �� <br />� <br />