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� <br />CITY OF EVE�iETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />f <br />DATE: �� � � / <br />� <br />FEE: <br />� �tas <br />�/ S�'� .� ��, � n� f�1 l/ c.� a.� <br />(�,eH ,T l�/!o-l�s <br />Hd v�^� o-� � /�` S'.P'e c. <br />ELECTRICAL CONTZi ACTOR. E��-dc, C Iec�i.,�a / <br />LICENSE N0, L-ZCor�'� r�7 MA EXPIRATION DATE ����j 3� �� <br />ADMINISTRATOR /�e �� �; /�d�r PHONE N0. 'f�S"�- �i3o 0 <br />VALUE OF WORK�/yu �(f/ (do not include taxes) <br />(for commercial work� <br />USE OF BUILDIP:G �e te � <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 e�ans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />�� <br />/Y�i• <br />�//� /' O ' <br />SIGNED :.,i��l�+�), v`'t�� _i--- DATE So-� Z- -�'i <br />P10TES AND COMPIENTS: <br />6/10/87 <br />192811 <br />