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CIT'f OF EVERETT <br />ELECiRICAL WIRING PERMIT APPLICATION <br />�OB AOCRE55 <br />TE�'ANT <br />�1 � <br />DATE: j Q- � l� - � 7 <br />FEc: ,3�.�n <br />FftOPERTY OWNER ��i\ur�c V71t'�-ir'� <br />ELECTRICFL CONinACTOR � t � `� � <br />C �� s ,i F a ��,�e ( �Pc� r P <br />LICENSc K0. ��a N�`� � ��,� i3,a cXPIRATIOiV DATc ��- 3�- g� <br />ADMINISTRATGR Y,��t �� ��1,� � � n nrI FHONE N0. J,� J- IGS o <br />i� <br />VALUE OF WORK '7`;,�; (uo not include taxes) <br />(for ccrr�nercia work-T-! -- � <br />USE OF BUILDING ; \ � �;,,, <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educatzonal, <br />instituti�nal or health carz 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 permit �,r�ill be issued. <br />WORK TO aE �ONE: <br />m <br />�, <br />SIGNED �_,1(�17/�^,' �L�,%rr�1>��� DATE /" k/-b'1 <br />L <br />ri0TF5 ArD CG��+�EN75: <br />5/l0/87 <br />192?H <br />