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� CITY OF EVERETT <br />� <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />DATE• ,=ll�Rl L l4/ / %� I <br />FEE: �j5� <br />,�9L/ N�IsSA�L <br />N/A <br />�i';' FROPERTY OWNER �AN MOiV TE />H <br />�. ELECiRICAL CONiRACTOR 5 £ L � <br />LICENSE N0. <br />ADMINISTRATOR <br />EXPIRATION DATE <br />PHONE N0, 3 5 3- 88'3 � <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING /zFS 1 t��NTi /it, �SiNG-L£ Fit.+4i�y� <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-approvad plans <br />before s City of Everett permit will be issued. <br />WORK TO BE DONE: <br />/:✓5-r�9Lc- �Vti w �o� �.vIF' S zr,�t/!c� <br />�Eu�iiz� lJous� AOt�iNc;r B�lSi,Soitif.J /�£i�i �.ZS <br />SIGNED : �1�� �l%�lih�(,� DATE f�!'%�/�. //, /� �� <br />NOTES APD COMMENTS: � <br />6/10/87 <br />1928H <br />