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� ,__• <br />CITY OF EVERETT DATc: / f L y� <br />ELECTRICAL WIRING PERMIT APFLICATION <br />JOB ADDRE55 <br />� � 7 � A i N��,2 fiJ � <br />FE�. <br />TENANT <br />RtOPEFtTY OWNER � ACI� !h'� o"J� Cs-c)��^rJt�/ <br />ELECTRICAL CONTRACTOR ljt/U � p F J P D i' � r��� C <br />LICE�lSE N0. L,� u� Pi�r`- 5 3 b�� EXPIRATION DATE /� <br />ADMINI57RATOR (b ckJ �ti olt �! � �aJ PHONE N0. z-- � � - � � Y� <br />VALUE OF WORK (do not include taxes) <br />(°or commercia work <br />USE OF BUILDING R�- 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 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 />��I ��� S;=lz J� c..T '2-� o fi,,.. P. <br />SIGrED : //vl7., `� Z- DATE � �Z � 5 <br />NOTES ArD COMMENTS: <br />6/10/87 <br />192EH . <br />