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CITY OF EVERETT DATE: � �� % <br /> ELECTRICAL WIRING PERMIT APPLICATSON FEE: <br /> JOB ADDRESS /,j�D �;�� /%/��,✓e ��� `//'�v-(�/ <br /> TENANT <br /> FftOPEf2TY OWNfft ���� � �'S '�.t�� <br /> ELECTRICAL CONTRACTOR `� `Z��j.S%n,' ����� <br /> LICENSE N0. ,C'`Z�,lJr"Ii��-�1�l�•�Ci EXPIRATION DATE /� �Q f Q <br /> ADMINISTRATOR Dp .✓ � ��S%�' PHONE N0. �-���5� <br /> VALUE OF WORK �do not include taxes) <br /> (`or commercia work <br /> USE OF BUILDING s �f-ryy;.r� s'/i..e�,C� <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 /> � WORK TO BE DONE: <br /> �'' �/ ! <br /> /r��e�✓1���b'�, J,P�✓✓�� r <br /> U / - - <br /> SIG�ED : �� /�'L'L�l'Ytti,� DATE ���� "�� <br /> NOTES Af� COMMENTS: <br /> 6/10/87 <br /> 192EH <br />