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CITY OF EVERETT <br />ELECIF2ICAL WIRING PFAMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />�toaEarr owr,�t <br />_. <br />oaTE: ,�- 5'— _-4 <br />FEE: ,3,5� Q <br />�.7 � / a', �u� e � ✓�,�. <br />�t/�.4 <br />��c�/L'�2 C oN.S % <br />ELECTRICAL CONTr2ACTOR ,{_ � <br />,/'C -.D.�. .��rcr�ic �o.�. 1,�c� <br />LICENSE N0. �C,vC � i i,y 3,RcJ EXPIRATION DATE %/88 <br />ADMINIS'1RAT�R QEj1i2� `��Np� PHONE N0. ,�5� =,S'7,3v <br />VALUE OF WORK � (do not include taxes) <br />(for commercia work � <br />USE OF BUILDING ��5 <br />NOTE: WAC 296-46-140 requires <br />institutional or healt <br />Washington. Applicants <br />before a City of Everett <br />WORK TO BE DONE: <br />SIGNED : <br />NOTES <br />6/10/87 <br />192211 <br />that plans for electrical work at educational, <br />h care facilities be approved by the State of <br />with such jobs must show the State-approved plans <br />permit will be issued. <br />_/�� ��s �oo,A %��� .. <br />% c_� <br />DATE / / � <br />