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CITY OF EVERETT DATE: _ __ <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: ��� <br /> JOB ADDRE55 �o? I7 ��iYI� <br /> TENANT /�y/ �i¢ l S� -- <br /> �20PERTY OWNER �, A� /�Ai2�/S <br /> ELECiRICAL CONiRACTOR ��9/l � <br /> LICENSE N0. EXPIRATIpN DATE <br /> ADMINISTRATOR PhIONE N0. o�S o� '�I✓�� <br /> VALUE OF WORK �do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING R -!5 ' � �� <br /> NOTE: WAC 296-46-140 rryuires that plans for electrical wor!< at educati�nal, <br /> institutional or health car� 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 will be issued. <br /> WORK TO BE DONE: <br /> �,�2�f17 -I�I7/- HFA � �c�i �R!�IZLR 1L—AN� �tlN N�CC� <br /> l�( (_ �O SU)l�°�F< J' /�f'� <br /> SIGNED : � DATE /� �oZ I — �� <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 192�H <br />