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� � <br />CITY OF EVERETT DATE: 3" �_ d Y <br />O <br />ELECTRICAL WIRING PERMIT APFLICATION .. FEE: �j �— <br />�OB A�DRESS ,j g� 7� LUGr1��� �Gi� . <br />_ , � ,- <br />TENANT <br />FftOPE'rtTY OWNER SQ /"�2 <br />ELECiR2CAL CONIRACTOR <br />LICEISE N0. <br />A�MINISiRATOR <br />e <br />EXPIRATION DATE <br />PHONE N0. � ``�J "�J a��.�T � _ <br />VALUE OF WORK (do not include taxes) <br />ifor commercia work <br />USE OF BUILDIPIG � 7�l'� TG w�! l <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 oP <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett pexmit will be issued. <br />WORK TO BE OONE: <br />�X �ur-� Ut�d.c� I���caUC( I.c <br />/ ��,¢ y 2roo r"� '7� /C !/�G�T-e,cJ Gc �G� _ � <br />SIGNED : � c DATE 3 I%—�� <br />NOTES A COMMENTS: <br />6/10/87 <br />1928H , <br />