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w. ifiA <br />CITY OF EVERETT <br />DATE: <br />9-2%U7 <br />ELECTRICAL WIRING PERMIT APPLICATION <br />FEE: <br />Qa <br />JOB ADDRESS /��jf Sect/ <br />�f2�T� <br />yy�ALL W S <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />•�.i.. c �v. s � Q'lp�oT-r CmusTc, .� <br />Sr�� <br />LICENSE NO. <br />EXPIRATION DATE <br />ADMINISTRATOR —n,-) <br />I k2 <br />PHONE NO. <br />VALUE OF WORK <br />(for commercia work <br />(do <br />not include taxes) <br />USE OF BUILDING _IMDi2C4C(�q�{�� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at ecucational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-app_oved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED,`: <br />NOTES AN <br />6/10/87 <br />1928H <br />SLtC <br />DATE <br />