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CITY OF EVEl2ETT DATE: Q "' ��� -� �� <br /> ELECTRICAL WIRING PFRMIT APPLICATION FEE: �'� � <br /> JOB ADDRESS ��U� �1.,/j'f <br /> TENANT <br /> PROPERTY OWNER (f/¢}j,QL6S l. ASE <br /> ELECTRICAL CONiRACTOR �QAN � �-Zc ��.CCf'�' � � <br /> LICENSE N0. �',PANIFI��3 c� EXPIRATION DATE �9�8 <br /> ADMINISTRATOR ,Qn[� f3e(,U J✓Ff� PHONE N0. a S� ��� <br /> VALUE OF WORK �561� (do not incl�de taxes) <br /> (for commercia work <br /> USE OF BUILDING �E6�UTy �J�LO�I <br /> NOTE: WAC L96-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applica�ts 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 /> ,r / /.v� �6 � .���-T>�1/ <br /> �' <br /> SIGNED : DATE ���`" �� <br /> NOTES AW COMMENTS: <br /> 6/10/87 <br /> 192�H <br />