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CIT'r' OF EVERETT DATE: �� � �� �= � <br /> ,r ,,�. <br /> 0.ECTRICAL W7AINC PERMIT APPLICATION �E� _ ` J <br /> / . <br /> -5 , � � . <br /> �ae aooRess ����_ �,tl� �� '/ <br /> TENANT —I /'� �''���I r <br /> PROPERTY OWNER �.(I.r11� <br /> ELECTRICAL CONIRACTOR i��'797✓l 7 c' �'�t �' ' <br /> LICENSE N0. (>k'/�/J I�I 1-<�` '� �-- EXPIRATION DATE ���/ <br /> ADMINISTRATOR �lS '� c� �%C!'i%-'�' PHONE N0. � �= ��1�-' ` <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work! <br /> � � <br /> USE OF BUZLDING /��� <br /> N�TE: WAC 296-46-140 requires that plans for ele�trical work at educational, , <br /> inst.itutional or health care facilities be approved hy 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 Til BE �ONE: <br /> i �7 <br /> /i_<.� I .i y ��/:vl � �� <br /> ;�, ��• - °�jJ7i' � ; /' / <br /> !%�:� :� <br /> `_,, � � <br /> SIGNE�] : /; / /� ' DATE /� _,y � <br /> , � <br /> NO'iTS AND COMMENT5: / <br /> 6/10i87 <br /> .L928H <br />