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� <br />CITY OF EVERETT <br />ELECTRICAL WLiING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />�ROPFRTY OWNER <br />DATE: T�'/ Z S- <br />�! FEE: � <br />� �O(v �'rNah� - <br />ELECTRICAL CONTRACI'OR <br />LIC�"�15E N0. <br />ADMINiSiRATOR <br />�� f� S�O� C EXPIRATION DATE <br />�Q/�/ P�i,., � r PHONE N0. 3 / S`� <br />VALUE OF WORK (do not include taxes) <br />(for cortmercia work <br />USE OF BUILDING - G/ vr i r f]-f� <br />NOTE: WAC 296-46-140 requires <br />institutional or healt <br />Washingtori. Applicants <br />before a City of Everett <br />W[1RK TO RE DONE: <br />th�t plans for alectrical work at educational, <br />h care facilities be approved by the State of <br />with such jobs must show the State-approved plans <br />permit will be is�ued. <br />SIGNED : � � DATE l S <br />NOTES AND: OMMENTS: <br />6/10/87 <br />1?28H <br />