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� <br />CITY OF EVERETf <br />ELEC',RICAL WIRING PERMIT APPLICATION <br />oa�• � S—a�l—�—�' <br />FEE: -�j �� � <br />JOB ADDRESS �ix'refif �c�.Q� /4-02 SF_. F a�2�1`/lwC%�� <br />—�-- <br />i'�NANT �ca i-y% td <br />PROP�tTY OWNER <br />ELECTRICAL CONiRACTOR J'� �Lt��n,�� <br />LICENSE N0. .�oY�` 1°(4-M `} EXPIRATION QATE � <br />A�MINISTRATOR VI— -�� PHONE N0. ��r� �2 <br />J <br />VALUE OF WORK l�`' ido not include taxes) <br />(Por commercia work <br />USE OF BUILDINu (� GV��_� s-�nn �f <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 />Gefore a City of Everett permit will be issued. <br />WORK TO 8E DGNE: <br />C✓�r'G /� v �/%r' �/ <br />SIGNED : �J ,�// O�-�`' DATE s• � 4• h� <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />