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CITY OF EVERETT <br />ELECTRICAL WIFiING PERMIT APPLICATSON <br />JOB ADDRESS � <br />TENANT <br />PaaP�rr owN� <br />� <br />DATE: // � - � � <br />/ FEE: �5 � <br />ELECTRICAL CONIRACTOR �,C- -✓• C• L- LEL7 R f L �e� �' ...L .�Jc-� <br />�ICENSE N0. /JC,�C c I/,S'3 � L.J EXPIRATION DATE /� `J-J <<jg <br />AOMINI57RATOR `�/ ,c,_ Q�--.� FHONE N0. �.5�5 =�S`��3 C� <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 t�:.> State of <br />Washington. Applicants with such jobs must show the State-app3o�vti . l�ans <br />before a Ci}y of Everett permit will be issued. � -'���..,,,, <br />�� <br />WORK TO BE DONE: `.. <br />/Y�z✓ /�6S OZ�OfE ��` ,. <br />SIGNED : �"" DATE �� �' 8� <br />MOTES AND 4MENT5. <br />6/10/87 <br />192211 <br />