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^— <br />CITY OF EVERETT <br />ELECTRIi.AL WIRING PERMIT APPLICATION <br />DATE: }y�it l�X� � 1 <br />- FEE: <br />JOB ADDRE55 �� - Z 5 O/kl� t S 1% F!ZC IT � k��f�- y�i ZO � <br />TENANT <br />�o��Tv owN� h�h,� C F3oy17 <br />ELECTRICAL CONTRACTOR <br />LICENSE N0. <br />ADMINIS'TRATOft <br />EXPIRATION DATE <br />PHONE N0. � S 9- l q� 7 <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING � r5l D I�1T I Fk l_ <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care Paci]_ities be approved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />bePore a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED : <br />NOTES <br />6/10/87 <br />1928H <br />< <br />DATE � " <br />/ <br />