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CITY OF EVEERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />40 <br />DATE: b ` d �5' - — <br />FEE: <br />/5aoID 6 �e-,r .57. <br />LICENSE NO. EXPIRATION DATE <br />ADMINISTRATOR PHONE NO. <br />VALUE OF WORK (do not include taxes) <br />(fov cortmercia work J <br />USE OF BUILDINGr ✓�e 5 <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 />Washingtaon. Applicants <br />with <br />such jobs be issued. <br />must <br />show the State -approved plans <br />before <br />WORK TO BE DONE: <br />SIGNED <br />J DATE 6 — ZS '- P7 <br />NOTES AND COMMENTS: <br />6/10/87 <br />192811 <br />