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CITY OF EVERETT DATE: � � (o � � <br /> ELECiRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADDRESS �o F�Sr �< <n I l.L <br /> TENANT <br /> FROPERTY OWNER �O't3 W lT -Q <br /> EtECTRICAL CONTRACTOR ST'��1•11.�r �- <br /> LICENSE N0. 5"T��L�.� I�'Z.nID EXPIRATION DATE �l�i� <br /> A�MINISTRATOR ^�_1 E • t��C�111—� PhONE N0. �(0"�}�2Z <br /> VALUE OF WORK -- (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING �— '�pi't . �_5 - <br /> NOTE: WAC 296-46-140 requires that plans for el=_ctrical work at educazional, <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 permit will be issued. <br /> WORK TO BE DONE: <br /> fs��l co r�7 ���� /'�.VY� <br /> SIGNED : � DATE � fo �cl <br /> NOTES ArD COMMENTS: <br /> 6/10/87 <br /> 1928H <br />