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� ( <br /> CITY OF EVERETT DATE: � - � �o - � 7 <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: ��- <br /> � <br /> JOB ADDRESS L�(/�� � /�P�� !� Q/9 � <br /> TENANT <br /> FROPERTY OWNER ,� ,� TS 5�C S O� <br /> ELECTRICAL CON7RACTOR ��� F� /r���T/�1 C� � <br /> LICENSE N0. EXPIRATION DATE (.���� <br /> AOMINIS7RATOR G /I?eI^ PHONE N0. '9�(Q <br /> VALUE OF WORK (do not include taxes) <br /> (Por cortmercia work <br /> USE OF BUILDING e 5 iCl P vi c �P <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 /> / C-i'Y1aD/'cc !' / �OGcJe � <br /> --r <br /> SIGNED : DATE <br /> NOTES APD COMMENTS• <br /> 6/10/87 <br /> 1928H <br />