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. �. <br />CITY OF EVERETT <br />ELECTRICAL WIftING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />. , ,: <br />� ; . <br />DATE: �I ZnP//`17 ' <br />FEE: �� � <br />725 5E � <br />FROPERTY OWNErt v4�'✓� D -- <br />ELECTRICAL CCNIF2ACTOR ,���n� �- �C��h � <br />LICENSE N0. �O-LE-�S-CZ(��{�,D EXPIRATION DATE <br />ADMINIS7RATOR ���%}� �J QI',F PHONE N0. ,j2� ��Sl�_ <br />VALUE OF WORK 'S�C�O4 (do not include taxes) <br />(for commercisl work <br />USE OF BUILDIN6 <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 />Washirgton. Applicants with such jobs must show the State-approved plans <br />before a City of Everett permit will be issued. <br />WOR.K TO BE DONE: <br />Fu,e,v�sy �/N�5'TAZ. L Z�e w S� � X 8� x�u �� <br />SIGNED : ���r�_, ���'�Ci�O DATE �0�2 / /�,z_ <br />NOTES ArID COMMENTS: <br />6/10/87 <br />1928H <br />Fi(d <br />