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CITY OF EVERETT DATE: _�� � Y Z(� � ��}' $'g <br />ELECTRICAL WIRING PERMIT APPLSCATION FEE: _ �'� <br />JOB AODR.=�� Euc=.rr-i{" �l�ln �1/ei�P�" ���1 �.{%o,`• <br />TENFNT ���y =C �r,uA <br />PPOPERTY qWNFR Ti�'C�htc- �,5, ;.,-t-er <br />E1.ECiRICAI. CONiRACTOR �_��, N h N�� <br />LICE�SE NU, <br />ADMINISTRATi,R <br />EXPIRATION DATc <br />PFONE N0. <br />VALUE OF WGRK �/, S-i� p (do not include taxes) <br />(for commercia wo k — <br />USE OF BUILOING <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or heslth 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 />■ � �� r1 " � . � ► ► - <br />� � _ • r ' 1 <br />SIGNED : ���, , �, �yy„R,�_ DATE �'�,�� /��,Q <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />_ '�;.:.,�,�. <br />; ';. <br />;''>; _ <br />