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� <br />CITY OF EVERETT <br />ELEC7RICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS � <br />TENANT <br />PROPERTY OWNfft <br />��-v��Z. <br />� <br />oaTe: /�— j - � � <br />� p-f <br />FEE: �S � <br />ELECTnICA� CONTnACTQR �%,C. - J• �. �.�eL7 l2 c L ` E�.' 1 Nc� <br />�ICENSE N0. /�C,�C � 1 /,s'3 � [,J EXPIRATiON DATE /�— -'" �' �"' �j-/ `�� <br />ADMINI57RATOR ��,�1 ��l FNONE N0. ,35�} =�"�,3 � <br />� i7 <br />VALUE OF WORK (do not include taxes) <br />(for commercia work � <br />USE OF BUILDING � <br />/�c�5 <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 wit�i such jobs must show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />/Y��✓ �6tis �UC'ff �� „ <br />SIGNED : � ' �---r `/ DATE <br />� �L4-i �' <br />r�orEs arro rn++Er�rs: <br />6/10/87 <br />1928H <br />