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� / � /� V 4 <br />CITY OF EVERETT D4TE' <br />ELECTR3CAL WIRING PERMIT APPLICRTION <br />FEE: <br />J�B AO�RESS �O .� � .� �l�l'�%� �1/1 a LL �/� <br />TENANT �/ I� /l�J A IL� — <br />PROPER'.Y OWNER <br />ELECTRICAL CONTRACTOR �'i �v✓r. �io rc�2MA N <br />LICE\'SE N0. ��� I �,,.�,(%� ��/ M�t— EXPIRATION DATE _���% <br />ADMINTSTRATOR Gfi'r �u.c�e.��vr.� PHONE N0. 3�g `��6 <br />VPLUE OF WORK (do not include taxes) <br />(for commerciaTwor� <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />insti�utiunal or health care facilities bs 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 />S IGNED : y'�—�z/ DATE � � �� °� _ <br />i <br />NOTES AND COMMENTS: __ ,�..-- <br />6/10/87 <br />1928H <br />