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cirr oF �Err <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ROORESS <br />TENANT <br />FROPEFtTY OWNEA <br />ELECTRICAL CONiftACTOR /%% C <br />oarE: _7 od ! , F � <br />� <br />FEE: _„j� � D G � <br />LICE15c N0. /�C � ��� _�/ 74 Ci= EKPIRATI�N OA� <br />_ a2 -ot %�-9 / <br />ADMINI57RATGR /%% %.., !�'7 `C'..� � FY,ONE N�. � i d v �'i � <br />VALUE OF WGRK (do not include taxes) <br />(for commerci work <br />USE OF 6UILD7NG _ S % %L� . <br />N07E: WAC 2Q6-46-140 requires that plans Por electrical work at educational, <br />institutional ar health caze racilities be approved by the State at <br />Washirigton. Appiicants with such jobs must show the State-approved pians <br />before a City oP Everett pezmit will be issued. <br />W�RK TO BE OONE: . <br />�lLO A�+ ,o f r � . s /'n �- � i n .� �e w /c�...s �-�. <br />� <br />SIGNED : �ji�w . � ! � DATE 3 -c� / — �'� <br />NOTES Af� COMME�lTS • • . <br />6/10/87 <br />1928H <br />