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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />DATE: �/ ll_�L <br />s� FEE: <br />JOB ADDRESS l �T // �GlbC�1 17 �P <br />TENANT �'r`�l1�+ �� 1 <br />PlZOPERTY OWNER <br />!� <br />ELECTRICAL CONiRACTOR i��G <br />LICENSE N0. EXPIRATZON DATE G� Z�� � <br />ADMINISTRATOR �. �2- PFIONE N0. �j%- 3,3 / �/ • <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <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 />SIGNED : <br />NOTES ArD <br />6/10/87 <br />1928H <br />DATE G o � �L.� � I <br />