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CITY OF EVff2FTT <br />� � <br />DATE: G-� 3- g 7 _ <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />FROPERTY OWNER <br />FEE: <br />� <br />7G �S <br />,�-C ��i E �� c ��EFN w,� Y — <br />ME��ia/S <br />ELECTT;T_CAL CONTriACTOR M��(E.e S< <��/ �°�� i��• - <br />LICEiVSE N0. �..� E �/,c,e s c a-1 1 G/C EXPIRATION DATE �`� <br />ADMINJ:SiRATOR pl M r� l. L IC L � ti E. PHONE N0. (��r_ ya �I 3 <br />VALUE OF WORK G U d�� (do not include taxes) <br />(for cemmercia work <br />USE OF �UILDING � E r r-a L C7 u� C�� <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 plans <br />- before a City of Everett-permit will be issued. <br />WORK TO BE DONE: <br />�j w� �-r� l l 3 5� F W�a fl Si C�ti�S � i ut�i vM�I..�F-�it e�t� <br />SIGNED : }�� lJ-��'�,C.t�.5�1• _ _ DATE (� - � 3 - `a'"j _. <br />NOTES AND COMMENTS: <br />6/10/87 <br />1922H <br />