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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />t <br />DATE: ©e IS 1c\8rI <br />FEE: as •L" <br />.JOB ADDRESS �_ <br />WAW IOU <br />PROPERTY OWNER -2 A <br />ELECTRICAL CONTRACTOR • \ - ' <br />LICENSE NO. <br />N n p P N kLA P,4 EXPIRATION <br />DATE <br />ADMINISTRATOR <br />PHONE <br />NO. <br />ID <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans for electrical work at edi:cational, <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 />wnov Tn or nnmr- <br />SIGNED DATE _ /na-I <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />