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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />OWNER <br />DATE: '��' /J3 J / <br />FEE:S% ' OG <br />C 4( <br />ELECTRICAL CONTRACTOR <br />LICENSE NO. <br />EXPIRATION <br />DATE t,/• go j D <br />ADMINISTRATOR <br />2S L,, ,3 U <br />PHONE <br />NO. <br />VALUE OF WORK -4jcoo 'C o (do not include taxes) <br />(for commerciaa-1. work) <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires <br />institutional or health <br />Washington. Applicants <br />before a City of Everett <br />WORK TO BE DONE: <br />teat plans for electrical work at educational, <br />care facilities be approved by the State of <br />with such jobs must show the State -approved plans <br />permit will be issued. <br />/DUI IA.) <br />'Weg-1 %o <br />SIGNED ��j%� Z—t DATE <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />