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� <br />CITY OF EVERETT <br />ELECTRICAL WIRING PFRMIT APPLICATION <br />JOB ADCRESS <br />TENANT <br />FftOPERTY OWNFR <br />� <br />DATE: _ rI'/ C.J � � <br />FcE: <br />E v, <br />ELECTRICAL CONTrZACTOR <br />LICENSE N0. � <br />ADMINISIRAT�R � <br />VALUE OF WORK � <br />(for commercia wor <br />USE OF BUILDING <br />� <br />( <br />EXPIRATION DATE ,� O( 9 � <br />FHOIvE N0. � ��-(-��%�� <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-2pproved plans <br />bafore a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />� <br />SIGNED : � �/ �'+ ��� DATE �U ^ � /� <br />NOTES AND C0�4MENT5: <br />6/10/87 <br />1928H <br />