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CITY OF EVERETT DATE: /�/ 5 ! cl ') <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />COB ADDRESS <br />TENANT a E. <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR I�c> o Q R <'c�'2 C- G <br />LICENSE NO. yy, ��cSC �/� �� EXPI4ATICN DA i cc <br />ADMINISTRATOR <br />PHONE NO. <br />�CKIZ �i I-fi'1�'_?� i� - <br />VALUE OF WORK 11 G` (do not include taxes) <br />(for commercial work) <br />USE OF BUILDING 3 T F, �) M a �1 c <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational,' <br />institutional or health care facilities be improved by the State of <br />Washington. Applicants with such jcbs must show the State -approved plans <br />before a City of Everett pe^nit will be issued. <br />WORK TO BE DONE: <br />,,, 5 i c. 1 <br />SIGNED : <br />NOTES AND CCMME`ITS: <br />6/10/37 <br />1? °H <br />,71 <br />%D n`1 <br />xT"0e'C5 't f"I <br />c� <br />DATE S ._� - YJ <br />