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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATICN <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />AjVT rzL' ' <br />ELECTRICAL CONTRACTOR <br />DATE: _y �Sr <br />FEE: <br />LICENSE NO. ( s7�A) a- k — EXPIRATION DATE / . 31 Z 3' o- <br />ADMINISTRATOR f� I (, io n o, PHONE NO. / -- / 3 y <br />VALUE OF WORK �� _ % (do not include taxes) <br />(for commercia work <br />USE OF BUILDING rn�y/z-k1 r-- '-.9 l <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />insticutional 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 />Tv7✓a� _Q 2 Zw J�iZi 1/ <br />o <br />SIGNED DATE ALL T� <br />NOTES AND 4COMMS'. / <br />6/10/87 <br />1928H <br />