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�� <br />CITY OF EVERETT <br />ELEC1FtICAL WIRING PERMIT APPLICATION <br />JOB AOORESS <br />� <br />DATE: ��/ � 2z � � <br />� <br />FEE: <br />/L <br />TENANT � � TiLI I �i �?��%��"I7� � <br />FROPERTY OWNR SAIyI � <br />ELECTRICAL CONIRACTOR � �J / S � G- �G%,�� � <br />LICENSc N0. �D S E L ,� �lS� Ll EXPIRATION DATE � UL �/ S Cl <br />ADMINISTRATOR (,v�q py (�y c/.C� PHONE N0. %�S `�� % <br />VALUE OF WORK do not include taxes) / <br />(for commercia work � <br />USE OF BUILDING � 1 6�) bi.-� � A�� � Ul aC L S r��'l� ��, <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 permit will be issued. <br />WCRK TO BE DONE: <br />,. <br />rAP �rPAp� Sf��ic-� ic� �� ,�n� <br />r�1 � I� �d�I� > > � o �, - <br />SIGNEO : ^ � �� DATE �O � � / � �'/ <br />/ <br />NOTES AND C0�4MENT5: <br />6/10/87 <br />1922ii <br />