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.� <br />CITY OF EVERETT DATE: C� ��i -/% <br />1ECTRZCAL WIRING PERMIT APPLICATION � FEc: <br />„09 ADCRE55 � <br />TENANT � <br />R�OPERTY OWNF3� � <br />ELECTRICAL ^.ONIF2ACTOF <br />LICENSE N0. �� <br />ACtdINIS7RATCR � <br />VALUE OF WORK <br />(for commercia�T work) <br />USE OF BUILDING <br />�j - � <br />J <br />� /✓i"-. �-- <br />, i <br />� J�c�'� �i��C EXPIRATIGN �AT� jG -'�i � <br />7 - <br />��,',l�r%�;� PHONE N0. _',% % �- / % / 7/" <br />� <br />��� _ (do not include taxes) <br />� �� <br />NOTE: WAC 296-46-140 reGuires that plans for electrical work at educational, <br />ir�stitutional or health care facilities be approved by the State of <br />Washi.ngton. Applicants with such johs must show the State-approved plar.s <br />ber"ore a City of Everett permit will be issued. <br />'NORK TO BE DONE: <br />SIGNED : <br />MOTES AND <br />6/10/87 <br />1922H <br />y � ✓�l .l✓�- a"ii/ � /l� �i <br />� <br />i /�/' <br />/ , \ <br />DATE G-//',G� <br />