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CITY OF EVF�iETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />OATE: / � � J- �% <br />�oe aocaEss �� � 3 t�.� S� '� <br />TENANT <br />FROPERTY OWNR / / ' � " �'� � <br />FEc.: <br />ELECTRICAL CON7RACTOR � �i1/��$ 7nl ��.e' v1�✓! �- <br />LICENSE N0. 1GVi'� C.Pi/ �.3 i2cti EXPIRATION DATE /02� ,3/ �.�� <br />ADMINISTRATOR �,� � �a�4 5s �.s PHONE N0. ,�3 �i'- a.�5 / <br />VALUE OF WORK (do not include taxes) <br />(for cortmercia work <br />. n n <br />USE OF BUILDING <br />NO7E: WAC 296-46-140 requi.res that plans for electrical work at ecucational, <br />institutional or health care facilities be approved by the State of <br />Ylashington. Applicants with such jobs must show the State-app=�ved. plans <br />before a City of Everett permit will be issued. <br />WORK TO BE OONE: <br />T <br />4 <br />SIGNED : � I l, L�� DATE �`Z �`%7 <br />NOTES Atm COMMENTS: <br />6/10/87 <br />192?H <br />