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CITY 3F EVF�tETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS �� �� <br />DATE: � � , � � � <br />�E: 3 S, U O <br />E-j�l (� �--F 51 Rt� T <br />TENANT w«� � r1 �r�l �/�YYI P/� E L L <br />�o�rv owr� 5�rv� � <br />ELECTRICAL CONTRACTOR SE A-Mtn12.ST E L E, d-1 R. 1 C�- 1 NL . <br />LICENSE N0. �t f+ Htn �'L 1 V l R l'a EXPIRATION DATE /'L -�-/—i7`v <br />ADMINISTRATOR S N'I�"f�I� ��A 121�% PHONE N0. ZS� " ���2- <br />VALUE OF WORK �— (do not include taxes) <br />(for commerci work <br />USE OF BUILDING j��5 � D'�nlG� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care Pacilities be approvsd by the State of <br />Washington. Applicants with such jobs must show thcc State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGf�D : <br />NOTES AND <br />6/10/87 <br />1928H <br />UPc�RR�� s�v�cr� �U 2Uc� AvY1PS, <br />oa-rE %/ ' 1 � �G <br />