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� <br /> CITY OF EVERETT DATE: 0�0 � 1 r/Y.f� <br /> -T � � <br /> ELECTRICAL WIRING PERMIT APPIICATION FEE: �� <br /> .708 AOORE55 � o � � r � f ���I <br /> TENANT � �V� S S�Gu I�I U <br /> PROPERTY OWNER C �'1 `IS (/J � /�-'L <br /> ELECTRICAL CONTRACTOR � GU 7n.¢.V" <br /> LICE��SE N0. EXPIRATION DATE <br /> A�MINZS7RATOR PHONE N0. ,� . � "�"o�o�fl <br /> VALUE OF WORK �do not include taxes) <br /> (Por commercia work <br /> USE OF BUILDING �I�- <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 will be issued. <br /> WORK TO BE DONE: ' <br /> �nl�nP �,� � ��oX i .�� i �'t �r�K'� <br /> SIGNED : DATE <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1928H <br />