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CITY OF EVERETT <br />EtECTRICAL WIRING PERMIT APPLICATION <br />JOB Q�ORESS <br />TENAWT <br />�+o�n� awr� <br />ELECTRICAL CQNTRE <br />LICENSE NO <br />ADMINI57RATJR <br />��c <br />DATE: ��h�/��y� <br />� <br />FE�• %�35 <br />��������'�f�`� EXPIRATION DATE <br />.�1f111-`I[V/'�/_�>,�/, PHONE N0. �<7,� f��/1�� <br />VALUE OF WORK (do not include taxes) <br />(for ca.mnemia work �, — <br />USE OF BUILOING <br />NOTE: WAC i96-46-140 requires that plan:; for electrical work at educational, <br />institutional or health care faci.lities be approved by the State of <br />Washington. P,pplicants with such jobs must show the Siate-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIf�ED : <br />��: ►ir�'� �ia.l�'A <br />6�'10/87 <br />192Pt1 <br />. �-�-i <br />DAIE % � <br />