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� <br /> CITY OF EVERETT <br /> DATE: / — � �/ ' � � <br /> ELECTRICAL WIRING PERMIT APPLi�ATION FEE: � � <br /> L/ �.e�� <br /> JOB ADDRESS �7 <br /> TENANT � � d"' S� � <br /> PRO�ERTY OWNER �� �� "`-� <br /> , / . � <br /> ELECIRICAL CONiRACTOR /(��r/�ib �v!^� ��-� v <br /> LICENSE N0. x/� �S S��/ 5� ��— EXPIRATICV OATE O <br /> ADMINISTRATOR r✓ ! C�./N�✓S�N PHONE N0. .�,3�— � -� S� <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING /�OS ��n�� - <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 plans <br /> before a City of Everett permit wi.11 be issued. <br /> WORK TO BE DONE: - <br /> � l� % 2�d C� G�-'^^'!v ��'-��/V�< <.0 <br /> SIGNED : -^� /�, ��`� DATE �— /�_ �� <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 192°N <br />