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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />DATE: <br />FEE. <br />ELECTRICAL CONTRACTOR A U f, - ' I-A�YJ f' lw e ) <br />LICENSE NO. pp*V-e 1rl,oi'r, 0.4 JC pEXPIRATION DATE <br />ADMINISTRATOR \D-ON,C,A T2� PHONE NO. <br />T <br />VALUE OF WORK �� (do not include taxes) <br />(for commercialwork <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans for electrical work at e=ucational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-app=oved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED DATE J J'y <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />