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CITY OF EVERETT 4'� <br /> DATE: /�q/ <br /> ELECiRICAL WIRING PERMIT APPLICATION FEE: <br /> 3/.� �. �z ��r G�/ <br /> JOB ADDRESS � � <br /> TEh'ANT <br /> PROPERTY OWNER _�'.^� n 1�i12`t / 4 / /`70�9a 9'C� �O wt.4 <br /> ELECTRICAL CONTRACTOR A/pr� o /`-'�� p µ�� `r <br /> LICENSE N0. ��(�� � G_ /7 QR EXPIRATION DATE /��3�/�`y <br /> ADMINISTRATOR �'tp� ��/, ��o� PHONE N0, �,I/ � y�3 <br /> i <br /> i VALUE OF W�tK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING /_ �a.-, /�PS_ <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 /> WORK TO BE DONE: <br /> /.I�w �l/� ��io <br /> SIG�ED : � /' � DATE / �� <br /> NOTES ArD COMMENTS• <br /> 6/10/87 <br /> 1928H <br />