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��. <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />� <br />DATE: �/�/ [ � � <br />� <br />FEE • _ ��_ <br />JOB AODRE55 � S I'� TT«1 � �Q'^� �v � <br />TENANT /vG�SOh �t �r�bu�ihu <br />FROPERTY OWNER J` a �.+ ti <br />ELECTRICAI. CONTrtACTOR (,f �., ,T� ��,( [�Ce a{ C'�m KTi <br />LICENSE N0. (.�NlTf_,EG /%G kJ G EXPIRATION OATE �O�=�� <br />AOMINISTRATOR �Glc�a r �a w, w, � r �� N�• 3� �3 ?� // <br />VALUE OF WORK (do not include taxes) <br />(for commercia work • <br />USE OF BUILDING �Gv++ 0 5��"v[S�� . <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educatio�al, <br />institutional or health care Pacilities 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 />SIGNED : <br />MOTES AMD COP4MENTS: <br />/-(�.�,�� <br />6/10/87 <br />192811 <br />DATE <br />�Xu'CU ���� �� � <br />i 1�, � `i? ,, �'<l� e� <br />