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CITY OF EVERETT <br />t DATE: 15�- fo-" <br />ELECTRICAL WIRING PERMIT APPLICATION <br />FEE: <br />JOB ADDRESS ✓ VO i' ,S d f ✓%%9 L C GciN Li _ <br />i <br />TENANT Cc /Z I�itJ/ZJl/� 5 �o J is 7 �'(✓/� J S <br />"7 <br />PROPERTY OWNERc�¢�e� <br />ELECTRICAL CONTRACTOR c2 <br />LICENSE NO. /%ie /, C- 11 E:<PIRATICN DATE J <br />ADMINISTRATOR PHONE NO. -7 -71 - `Z— <br />U r <br />VALUE OF WORK �3856 •- (do not include taxes) <br />(for ccmmercia worK) / <br />USE OF BUILDING <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 />SIGNED DATE <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />