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-� <br />CITY OF EVE'cTT <br />ELECTRICAL 'nIRING PERMIT APPLICATION <br />DATE: �— % J" � <br />FEE: �j'� <br />JOB ADDRESS /9�� w, /%A�..��t !/ �� A C' <br />rNaNT G <br />�toP�Tv ew�� /�o.e� o �' � /�.��..._7T <br />ELECTRICAL C�NIF2ACTOR y���/1=,� ��� �.�.t•�C <br />LICE�SE N0. �,t"��L-'C e� / t%/�'Jd1 _`-^P�ATION DATE <br />ADMSNISTRATCR �610,A Xt�`t2' PHONE N0. ���!—�,�%Z <br />VALUE OF WCF;c (do not include taxes) <br />(for commercia work <br />USE OF BUILCING <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />inst`_tutional or health care facilities be approved by the State of <br />Wash�ngton. Applicants with such jobs must show the State-approved plans <br />befc=e a City of Everett permit will be issued. <br />WORK TO BE CONE: <br />SIGNED : <br />NOTES <br />6/10/87 <br />1928H <br />DATE � — / — �� _ <br />