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� <br />� <br />CITY OF EVERETT �A�� �� g7 <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: � <br />.�os aooREss Sr9/9' UQ!(eS ff de �du�7/` `j'`��o 3 <br />TENANT <br />PFtOPFRTY OWNER �i�i�'� S' <br />ELECTRICAL CONTRACTOR QG✓�G' <br />LICENSE N0. <br />EXPIRATION DATE <br />ADMINISTRATOR PI-IONE N0. .�,$`�59�/GS^ ��z-S'�32� <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILUING <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 pexmit will be issued. <br />WORK TO BE DONE: <br />R,� cJ,�e �l/06 a�r/T6e <br />SIGNED ��:%/�, -�� DATE /-7�v / <br />NOTES APD COMMENTS: <br />6/10/87 <br />1928H <br />