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,� <br />� <br />CITY OF EVERETT � <br />ElEC7RICAL WIRING PERMIT APPLICATION <br />JOB ADORESS Q o� <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRF <br />oA�: �— 2�-89 <br />FEE: <br />6-� % f.k�(Uc <br />� D�/�Tule.c..,s Corn ST', CD. <br />LICENSE N0. ,? � � i�Y� EXPIRATZON DATE — � q <br />ADMINIS'1RATOR Z..c,�_ 4-�-p,,,,,,,, �,.,,,i PHONE N0. j� �^(o SZ� <br />VALUE OF WORK �(/� ��. (do not include taxes) <br />(for cortr.iercia wor,< <br />USE OF BUILDING �� _..� 1/e ..�s✓'. I �C .z�S�(�.o..=� �r` \ <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care Pacilities be approved by the .State oP <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett peimit will be issued. <br />WORK TO BE DONE: <br />SIGNED : <br />NOTES APD COMMENTS: <br />6/10/87 <br />192EH <br />� q <br />^�� DATE Z �� 81 <br />