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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPIICATION <br />JOB ADDRE55 � ���� ��k.�� �.(, � <br />DATE: � - I� �� 7� 1 <br />� <br />FEE: <br />TENANT 1� (? �i � t� l� `. � G n, <br />PROPERTY OWNER JFaMI? <br />ELECTRICAL CONTRACTOR �• ��1"51'U L I�c�J �C_ <br />LICENSE N0. �V�!\12 i � �73 C��'� EXPIRATION DATE �� 5/ -�� <br />ADMINISTRA?DR �1 � I�- i����?'S ��� PHONE N0. %�/� -(�;� ?� <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <br />) <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 />l✓,,-,- �'(c; �//; <br />I�- � _� <br />/ / / � <br />iir�'�� -.���iL r.h.��//'/'l,"� Y� �[.�'i,'�- <br />' . .___ J . . �'� <br />G�/ � <br />�7 JiO: !� � .�, <br />-� <br />/ . <br />SIGNED : . ' ✓/ %///,..i-����_ DATE <br />NOTES AND COMh1ENT5: <br />6/10/87 <br />192E1i <br />; - �/ ` ' <br />