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crn oF �� <br />ELECTRICAL W�iING PEAMIT APPLICATION <br />J�8 J4�DRE55 <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CON7RACTOR <br />v f <br />OATE: _1_D - �- � � � <br />. . . FEE �7 7 0 � ' <br />LICEISE N0. /yJc /; �,v,E y7 � �� Exa�anoN oa� 02- ��- p��� <br />ADMINISTRATOR �y�.���L�L.4✓_ PHONE N0. :.? �%,Z 5��9 �% <br />VALUE OF WORK �, d p� � (do not include taxes) <br />(for commerciai work) <br />USE OF BUILDING _ZjiC,G /C ,�, <br />I�TE: WAC 296-46-140 requires that plans far electrical work at educational, <br />institutional or health care Pacilities be approved by the State oP <br />Washington. Applicants with such jobs must show the State-approved p12ns <br />bePore a City af Everett pezmit will be issued. <br />W�RK TO BE DONE: <br />SIGNEU : � _ DATE , /O - S - p � <br />NOTES AI� COMMENTS• <br />6/10/87 <br />1928H <br />