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CITY OF EVERETf ��' <br />ELEC7RICAL WIRING PERMIT APPLSCATION <br />� .4.j <br />DATE: �s/%l/- � �% <br />.. FEG: �,�C�. Q d <br />JOB ADDRESS %5,�� � p� �,O ��.D <br />TENANT /%%y"L f>l/✓ %/D.P2� � <br />FFtOPERTY OWNF7� �r%�i9� <br />ELECiRICAL CON7RACTOR �,C�1'i✓/75 %l�Jr!/� ��Cl�.Ps T / <br />� <br />LICENSE N0. <br />ADMINIS7RATOR <br />��Z/✓�S �S �y0 LL� EXP7RATION DATE /j%r3��// 3/ /�ya <br />PHONE N0. s �$ = O�/l`'7 <br />VALUE OF WORK (do not include taxes) <br />(for c:ommercia work <br />USE OF EiUILDING f�L>1d£N� .yi?'{� • <br />NOl"E: WAC 296-46-140 requires that plans for electrical work at educational, <br />insiitutional 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 perr,iit will be issued. <br />WORK TO BE DONE: <br />�cNs��y�a� �G •�i�i9�2�y1 �..1.�%�us.�o��/, <br />SIG:VED <br />IJOTES AND <br />6/10/87 <br />1928H <br />DATE .��`%%%��y� <br />