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CITY OF EVERE17 <br />DATE: <br />ELECTRICAL WLRING PERMIT APPLICATION FEE: <br />JOB ADDRESS <br />TENANT rGsa �'rcc-! C'�.oeola% e�n��o ea6/i,E �. <br />PROPER i ( OWNER L ✓c cc�T% /�Lc �� <br />ELECTRICAL CONTRACTOR <br />LICENSE NO. PC EXPIRATION <br />ADMINISTRATOR el e dey PHCNE <br />o <br />DATE <br />N0. �s8"Z- 27Zb <br />VALUE OF WORK fo C 7 G = (do not include taxes) <br />(for commercial work) <br />USE OF BUILDING ee S'c_fc—s- <br />NOTE: WAC 296-46-140 requires <br />institutional or healt <br />Washington. Aoolicants <br />before a City or Everett <br />WORK TO BE DONE: <br />SIGNED <br />NOTES AN <br />6110187 <br />IQ28H <br />h <br />that plans for electrical work at educational, <br />care facilities be approved by the State of <br />with such jabs must show the State -approved plans <br />permit will be issued. <br />71- b �:T i r.ro✓e�F�ti� 2�w�c cic <br />D <br />L— f", Y DATE <br />COMMENTS: <br />