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-f <br />� � <br />CITY OF EVERETT DATE: % ' % % —� � <br />00 <br />ELECTRICAL WIR7NG PERMIT AF'PLICATION �E: � <br />JOB ADDRESS S:J �� r/� v'P�� S7 <br />TENANT G�D� �'1 � m `� � <br />PROPERTY OWNER s� ..rt .�a rJ <br />ELECTRICAL CONTRACTOR y<. 1`r�[' f� Fl�� /�''� T" � _ <br />LICENSE N0. ,�/Y%��CE /�/��- /t � EXPIRATION DATE <br />ADMINISIRATOR /a � o� PI10NE N0. 3.� �/ � S 3�% <br />VALUE OF WORK (do not include taxes) <br />(for canmercia work <br />USE OF BUILDING �r's���"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 iasued. <br />WORK TO BE DONE: <br />'�� <br />SIG�D :�./''� d.���G.'' DATE 7�� 7�� <br />NOTES ArD COMMENTS: <br />6/10/87 <br />1928H <br />