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i, <br />c <br />3 <br />� <br />k <br />; <br />CITY OF EVFRETT � <br />� ; <br />ELECTRICAL WIRIIJG PEFtMIT APPLICATION <br />JOB ADDRESS � � � � <br />7ENANT <br />DATE: � � Z-�i110 ci, __ <br />FEE: <br />�.s � c�, k �-- <br />i�� <br />FROPERTY OWNfft Z�`��� C-t-`�i� �P VY i �v ��o � <br />�1 / <br />G..E�7FtICAL L'ONIRACTOR �-=�^ �`� ��6�' n ��e �r� �_ <br />L:��N5E NG. S�%I Q-V u��� \`c' ��''� EXPIRATION DATE 1 � <br />AGMINISTRATOr� �� r� ,� Y�� S PHONE N0. ���- S� T 3 <br />VALi.�E OF WORK �O �� (do not include taxesl <br />(for cummercial werk <br />USE OF BUILDING l:�C� <br />NOTE: WAC 296-46-140 requires that plans for electrica? 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-appioved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />� <br />SIGNED : <br />NOTES AhID <br />�' 6/10/87 <br />' 1928H <br />� <br />� <br />�A7E � �'�4"./ <br />6 <br />