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�� <br />, <br />CITY OF EVfftETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />;�8 A�DRESS <br />TEPWNT <br />DATE: <br />i � � • <br />: � <br />,��/z ��-� <br />FEc: _��� <br />f�OPERTY OWNE� �? 7� — <br />ELECTr�ICAL CONTi�ACTOR ��2C �' 't � L � � ,�T <br />LICENSE N0. �[-l� t 243P)cf EXPZRATiON DATc %/ �j // tjc`�i <br />ADMSN257RATOR �/L � :' G �.�?�J�� SD �1___ _ FHONE N0. ,G,b �3 � �i � ¢ � <br />VAL'JE OF WOftK (do not include taxes) <br />(for commerciTworkl ' <br />USE OF BUILDING /= � s��Jti"�- n��- <br />NOTE: WAC 296-46-140 requires that plans for electric2l work at educational, <br />institutional or health care facilities be apFroved by the State of <br />Washington. P.pplicants with such jobs must show the State-zpproved �lans <br />before a City of Everett permit will be issued. <br />WORK i0 BE DONE: <br />f � • ; • / <br />SIGNED : � � �L% -� ,� � DATE /n�/� /� � <br />�IOTES A�D CC�AMENTS: <br />6/10/87 <br />1928H ; . . ._ <br />