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�, <br />CITY OF EVERETT <br />EIECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />iENANT <br />r <br />DATE: S` I U- 8� <br />FE-c: �, �.00 <br />�o�tTv owr�a T; m C�� R r� e n <br />FiECTRICAL CONTRACTOR � e n�„ r ti� � � e c"f'. fi n � <br />LICENSE N0. S F}j-I� U r Z � 4 7 R I� EXPIRATION DATE Iq � O <br />ADMINISTRATOR S In o n� M1 c� bo � r n PHONE N0. Z, ��- ��j 9 � <br />VALUE OF WORK (do not include taxes) <br />(for canmercia work <br />USE OF BUILDING S� R_ <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 plane <br />before a City of Eve•�ett permit will be issued. <br />WORK TO BE DONE: <br />n�ar_e P�.ic� S('fuiee_ W�'�� 2--00 � <br />SIGNED : / ,/ /� ��C+��'Ce,� DATE � - � Q� - `� `� <br />NOTF:S AND CC�4MENT5: � <br />6�1G/87 <br />1`."_8H <br />