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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS 21 <br />TENANT <br />DAIS: <br />FEE: <br />PROPERTY OWNER <br />ram✓ A� <br />ELECTRICAL CONTRACTOR <br />LICENSE NO. <br />ADMINISTRATOR <br />1Z a � e �� L.XPIRATION DATE <br />PHONE NO. _Z 7 <br />VALUE OF WORK . fro (do not include taxes) <br />(for commercia work <br />USE OF BUILDING COrtNc �- <br />NOTE: WAC 296-46-140 requires that plans for electricalworkby <br />attheducationaStateof <br />o' <br />institutional or health care facilities be app Y <br />Washington. <br />Applicants <br />will l be issued. <br />must <br />show the State -approved plans <br />befor <br />WORK TO BE DONE: <br />SIGNED <br />DATE <br />�p �'— <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />