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CITY OF EVERETT DATE: _ ��.� IO- �� <br />ELECTRICAL WIRING PERhfIT APr'LICATION °L <br />FEE: p2 s �-i <br />JOB ADDRE55 �� �� ��� �� r'��,.r n.(� <br />TENANT <br />FROPERTY UWNER <br />ELECTRICAL CONiRP <br />LICENSE N0. <br />A�MINISTRATOR <br />�11f,1c(? ����/ ��O EXPIRATION DATE - " � '� <br />��( t'Y1 I VY) —Jdvl (,IP�� PHONE N0. ��� --� 7y� <br />� <br />VALUE OF WORK (do not include taxes) <br />(for corr�nercia work <br />USE OF BUZLDING p f.5 I/�?-hG <br />, <br />, �cC� <br />.-� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at =ducational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />bef�re a City of Everett permit will be issued. <br />WORK T17 BE DONE: <br />SIGNED : _�/�/6� �, S/�7��f.(iL 2� DATE _�- /� �� <br />t'^u <br />NOTES AND COMMENTS: <br />6/10/87 <br />192PH <br />