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CITY OF EVERETT <br />ELEC7RICAL WI�ING PE7tMIT AFPLZCATION <br />JOB ADDRESS �,� <br />TENANT �� <br />FROPcRTY OWNER <br />oA��� �.�- �!,��.�'1 <br />FEE: � <br />a <br />ElECiRICFL CONiRACTOR �Ily�/�e��S ��pC��, <br />LICENSE N0. ��'�N�PC �� `/ I'4� EXPIRATION DATE ���(;,�% <br />ADMINISiRATOR �i�F�y� � y�� �.��dP ✓� PHONE N0. 1 j�—���J�_ <br />VALUE OF WORK /QSU �� (do not include taxes) <br />(for commercia work <br />USE OF BUILDING ����j��� (E�q��� <br />NOTE: WAC 296-46-140 requires that p12ns for electrical work at educational, <br />instituticnal or health care facilities be approved by the State of <br />Washin�ton. Applicants with such jabs must show the State-approved plans <br />before a City of Everett permit will he issued. <br />WORK TO BE DGNE: <br />� <br />SIGNED : � �,�C�/ �: S/��C�r,�—= DATE �- , — �� <br />� <br />NOTES AhD COMMENTS: <br />6/10/87 <br />192EH <br />