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� <br />CITY OF EVERETT <br />ELEC'fRICAL WIRING PERMIT APPLICATION <br />J09 AODRE55 <br />TENANT <br />RiOPERTY OWNER <br />�� <br />DATE• � �`� � �� '- <br />i'/D �% / <br />�/ i ' ' %I�CG�L` U' v <br />FEE: <br />ELEC7RICAL CON7r?ACl'OR �f-tir�C�S ��tLi'r�'C $ ��Ofd c�D�TC� ��'-�`" � <br />LICENSE N0. C.:�afk��' iylmy EXP.iRATION DATE %'�c��8'� <br />ACMINISTRATOR d�<U,LQ �� C. ��` �� PHONE N0. 7�y" J� y-7 _ <br />VALUE OF WORK �G��/. �c (do not inciude taxes) <br />(for commercia work <br />USE OF BUILDING �PS r��e�� I R I '�=�- . <br />NOT�: WAC 296-40-140 requires that plan�• for electrical work at educatio�al, <br />institutional or health care facilities be spproved by the State of <br />Wash����gton. Fpplicants with such jobs must show the State-approved plans <br />befor.e a �ity of Eve�ett permit will be issued. <br />WORK l`0 BE DONE: <br />SIG;dED : <br />NCTES AND COMMENTS: <br />0/10/87 <br />�.7LCH <br />mp Sc'���i�eS <br />l �1 <br />-� a - �� <br />oa� �-'� ' <br />