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CITY OF EVERETT <br />� DATE: �/ �� � '' <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS � `j I �' �_ �� � �.., � _� ! � . L�,. � c) I <br />FEE: <br />� TENANT �r�- i � �,.,� i� <br />, FROPERTY OWNE7� ��I'F P `1 �J{ <br />• ELECTRICAL CONiRACTOR r�,.� ���; _ <br />9 <br />LICENSE N0. EXPIRATION DATE <br />ADMINISTRATOR PHONE �10. 2 S� � 3 ��? <br />VALUE OF WORK (do not include taxes) <br />ifor commercia work <br />USE OF BUILDING ✓Z �� � � ��� ^ ` � _ <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-approved plans <br />before a City of Everett permit will be issued. <br />IVORK TO BE DO�IE: <br />/�e�IG r rCt' I {! . v_ vCx — <br />n <br />SIGNED � �. �,,_,-!�^ DATE > i %;'.):% <br />/ �/ <br />NOTES A COMMENTS: <br />', �_� :��. � %�' �� /.�'i <br />6/10/87 <br />1928H <br />