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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />�w.. <br />DATE: n -' O 3-� 7 <br />FEc , /G <br />J�8 ADCRESS � 3 a� %I7�-Lt' ° sd� <br />7LNANT �St a/1 �-2 5 L 2 P�� /'. - <br />FROPERTY OWNEi 5'g,�z^p <br />ELECTRICAL CONTFtACTOR ��+���C+ �a.,'£- �/.Pc�t�'�r <br />LICENSE N0. ��1�/fi=� —/, S�i P 4 EXPIRATION DATE pT_- 3c� -� <br />ADMINI57RATOR �(«yt f,���-� PHONE N0. 337--3�FG'] <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUIL�ING � � �..�,,���, ., <br />NOTE: WAC 296-46-140 requires <br />institutional or healt <br />Washington. Applicants <br />before a City of Everett <br />WORK TO BE DONE: <br />SIGNED <br />NOTES A <br />6/10/87 <br />1928H <br />that plans for electrical work at ecucational, <br />h care facilities be approved by the State of <br />with such jobs must show the State-app=�ved plans <br />permit will be issued. <br />� � <br />:� : � .n� <br />'- . , s . �.�'G <br />• <br />�,s� -� _.. <br />/ DATE L� �rd 3 -�� <br />ND C� T5: <br />