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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ACCRESS <br />DATE: <br />FEE: <br />fO Z 5E eve✓e <br />TENANT e- 6t U) 3 (":x I )'re <br />PnOPc--RTY OWNER Lte411 /till <br />ELECTRICAL CONTRACTOR —T�L1 <br />cc r? B , Edfre !� <br />LICENSE NO. f /} Ll 51 f 1� (c f`Li EXPIRATION DATE <br />ACMINISTRATOR 2eve-i LL-50t" PHONE NO. el/c/3-9 � 37 <br />VALUE OF WORK 4 3asavd (do not include taxes) <br />(for commercial work)n <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 recuires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washingtcn. 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 />(l 'a - d' Cep ! <br />SIGNED --Ef %/ - DATE S — / 3 - 3 3 <br />NOTES AND CCMMENTS: <br />6/10/87 <br />1928H <br />