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r� <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICAiION <br />JOB AODRESS <br />TENANT <br />r� <br />DATE: J(�—a3-8� <br />FEE: �%Qq,� <br />PROPERTY OWNEFi <br />. �: ,l ' _._ e�► � <br />h'O,L, <br />ELECTRICAL CONThACTOR j�J yy�) L�f21C J 1("/y,�__ _ <br />I_ICENSE N0. �j(�<nF -x''7 EXPIRATION DATE �' <br />ADMINISTRATOR �t�g�p�l b ti l.CnAl PHONE N0. ��—y,;as <br />VALUE OF WORK yv / 9sf.Imp (do not include taxes) <br />(for commercia�k�� <br />USE OF BUILDING _ (�_ �Qy (iFFICG f�U(1Cj�A� — <br />NOTE: WNC 296-46-140 requires that p12ns for electrical work at educational, <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 />WORK TO BE DONE: <br />SIGNED :_��,�� �.� �r 1�p� � DATE �.2 3'"' � rT <br />"lOTES P?.D C0�4P'ENTS: <br />6/l0/87 <br />192dH <br />