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CITY OF EVREif DATE� <br />ELECTRICAI. WIRING PERMIT RPFLICATION <br />�E: <br />JOB AD�RE55 ;�0 1� �O y f S7`' �vc-r-�_ �' <br />TENANT <br />FftOPERTY OWNER �CC�K a��zj`��SS <br />ELECTRICAL CONIRACTOR %���n'�'��'7 L�tGt�� G <br />LICENSc N0. 'Ti?p/;9�E�` /`iZ��� EXPIRATION DATE /��3� F� _ <br />ADMINIS'fRATGR -f�o u.� n J s �'�8J 3 PHONE N0. 7g 4' `S' �� <br />VALUE OF WGRK (do not include taxes) <br />�for commerci work <br />USE OF BUILDING A�!�� <br />NOTE: WAC 296-46-140 requires that plans r"or electrica'_ work at educaticnal, <br />instikutional or health care fac�lities be approved by the State of <br />Washington. Applicants with such jobs must show the State-ap�roved plans <br />before a City of Everett pe^nit wi11 b' issued. <br />WORK TO BE OONE: <br />SIGNED : G'� (�. <br />NOTES A�D <br />6/10/87 <br />1922H <br />�ATE � // �� <br />