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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />i <br />PROPERTY OWNER <br />DATE: I <br />�T FEE: <br />ELECTRICAL CONTRACTOR /moo, <br />&r, I l�n <br />4 C 1 Z- <br />LICENSE NO. <br />I� <br />In�EXPIRATION <br />DATE <br />ADMINISTRATOR 1) '�N I e_ )' (y., pa I I " o h PHONE NO. �,S <br />VALUE OF WORK 4 0 0 G) � � (do not include taxes) <br />(for commercia work)�./ <br />USE OF BUILDING <br />i)' / <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 Q DATE / <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />