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^ <br />CITY OF EVERETT <br />ELECTRICAL WIRIDlG PEZMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />FROPERTY OWNER <br />'76c� ] <br />� <br />DATE: _ � / /Q� ��J <br />i �y o <br />FEE: 2 <br />�L1 �tJHJ • <br />tl <br />ELECTRICAL COtJiRACTOR � (�' C � (��� � <br />LICENSE N0. '� (-�S�C ���,/�-T EXPiRATION DATE /c��7 <br />ADMINISTRATOR ���,o; Y���� J PHONE N0. ��y� �y �,,� <br />VALUE OF WORK 2S '= (dc not include taxes) <br />(for comm=rcia work <br />USE OF BL'ILDING S p�z�J�4 ti. C��z ` <br />NOTE: WAC 296-46-140 requires that plans r'ar 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 permit will be issued. <br />WORI: TO BE DONE: <br />SIGNED : pc�.y� � DATE 9�l�}"�,p'7 <br />,7—� <br />MOTES AND COMtdENTS: <br />6/10/87 <br />1928H <br />