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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLZ�ATION <br />DATE: � � "/fi .� / <br />FEc : ��v Ov _ <br />JOB ADDRE55 �C�/o� /io Y r <br />TENANT �( `,�✓r'lS0/�/ - <br />R�OPERTY OWNFR Jj�j�lE <br />ELECiRICAL CONiRACTOR ��-FNI�s /:Fjr9�� ��'C.-��ITY <br />LICENSE ND. [�QTivf,l5 /�S .�/�� EXPIRATION DATE .�//j%/%P /S�'O <br />ADMINIS7RATOR <br />PHONE N0. ,j 7� =l��S% <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUZLDING ` D�'l�1yI�.00�F.�� <br />NOTE: WAC 296-46-140 requ�res that plans for electrical work at educational, <br />institutional or health care faci�ities 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 will be issued. <br />WORK TO BE DONE: <br />�NS't� 7TOi✓ O� 1/✓TL'G5'?'o�,/ ��/�°I3� <br />6/10/87 <br />1928H <br />DATE �%Ja/��� <br />