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CITY OF EVEP.ETT DATE: <br /> % � ,- S . <br /> ELE TRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB A�DRESS `I 4 ) U 'L^ l��'1 ' ''ZC�✓ ``/• ���7 <br /> / , !� � /G�; . <br /> TENANT r r � .. C L <br /> FROPERTY OWNER <br /> ELECTRICAL CONIRACTOR j�L"�h5��` �'��{'i '�` ` <br /> LICENSE N0. ,�/'UI"S> 1�-� � 5 � �'�'`G EXPIRF,TION DATE /� .�� ��� <br /> ADMINISTRATOR ���n; / ` 1'���"�' PHONE N0. .�3 Y "J'��� <br /> VALUE OF WORK (do not include taxesi <br /> (for commercia work L� <br /> ' 1_��'1 /��"�'✓ ✓ 1-✓� r � �k Szc.�( C•�I�•' � �� � <br /> USE OF BUILDING T' <br /> NOTE: WAC 296-46-140 requires that plans for electrical work atthedUStatenaof <br /> institutional or health care facilities be approved bY roved plans <br /> Washington. Applicants with such jobs must show the State-app <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> � /' - <br /> SIGNED : '�� •"n � �'f.11,"l��-v�.' DATE � � � �-5��1 <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1928H <br />