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�w� <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT AFPLICATION <br />JOB ADCRESS <br />TENANT <br />� <br />DATE: � z /�? <br />� FEE: ' <br />—j�-{-c—. ��n!%I\(L-� Mt1G4-1-�I�1� Mf�N <br />FkUPERTY OWNF� <br />ELECTRICAL CONTRACTOR`Ti--1'�� A2-T I�S'r�L�\�S <br />LICENSE N0. Z�•i3� -Ap'�I���d�p EXPIRATION DATE /0-��-�/ <br />ADMINISTRATOR I� • S�1N ` PHONE N0. Z�-��� / <br />/ � (do not include taxes) <br />VALUE OF WORK / � — <br />(for commercial work <br />USE OF BUT_LDING <br />(� <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 pl�ns <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />. 6 <br />�/' %�ue vu� � � <br />, <br />c� �,�g <br />� �i r- A-ti1'�/�V', <br />�-�" � %(!��% / �ATE l"���, �� � <br />SIGNED � �Cu-r-/ � � ' <br />Ll <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />