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CITY OF EVERETT <br />El.EC7 1CAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENPNT <br />PROPERTY OWNER A - / V I C <br />DATE: <br />FEE: _aLcO <br />/C L <br />� <br />ELECTRICAL CONTRACTOR - v <br />/�//i.SSI -J <br />LICENSE NO. % S / S3 /C CQ. EXPIRATION DATE �07 94�� <br />ADMINISTRATOR $i nl PHONE NO. 3 3' i' - ? 3 S / <br />VALUE OF WORK (do not include taxes) <br />(for commercial work <br />USE OF BUILDING Ha <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 />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 DATE <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />