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CITY OF EVFRETT DATE: I — � I — �� <br /> tLECiRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADDRESS � ��� <br /> TENANT l T JS�' 1 a �'Q' <br /> i ll Ii <br /> FROPERTY OWNER <br /> ELECTRICAL CONiRACTOR � i I � Vl [A OA� `� �O (,� Y I L� — <br />� LICENSE N0. � � a Yl � S S � .Z I.kXPIRATION DATE / — � I - 6�_ <br /> i� ADMINISTRATOR �) � YY� II .��� �� PHONE N0. � � � - r� � lf/ <br />� VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING ��� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work a: 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 /> f 1�t�F <br /> . t (�J� <br /> � SIGNED : Y�C� )l�� � ` l �/ DATE '"��`0 ll <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1928H <br />