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CITY OF EVERETT ^ OATE: �� '—�y ' � <br /> ELECTRICAL W7RING PERMIT APPLICATION FEE: <br /> JOB AD�RESS � 'J•2 y �D/17�!/��i+ � C{ll�G� <br /> TENANT �� / — <br /> FROPERTY OWNER S•�lo —�� L�i¢,jJ'!�,lr /7ING���F:G'¢ �/ti� <br /> El ECTRICAL CONiRACTOR � DG`�N��L <br /> LICENSE N0. EXPIRATION DATE _ <br /> PHONE N0. �^''Z-y��� <br /> ADMINISTRATOR -- <br /> VALUE OF WORK (do not include taxes) <br /> (for commerciaL work � <br /> USE OF BUILDING ��Sll���"� �� <br /> NOTE: WAC 296-•46-].40 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by th� State oP <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 /> ��N �i ey— <br /> SIGNED : <br /> � DATE �1 ^ �y� <br /> NOTES ANU C ENTS: <br /> ci/10/87 <br /> 1928H <br />