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CITY OF EVERETT <br />ELECTRICAL WIRING PUII41T APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />31 <br />DATE: �v — �" 67 <br />FEE: <br />iv] 14,e"J c O I EW 01 �-- <br />V0C/3 cl(y 1 GU <br />ELECTRICAL CONTRACTOR 14�6' �5LI -C 14)C' c� <br />LICENSE NO. kit D6� EXPIRATION DATE FED / <br />PHONE Nr:. (0 5-3 'T 3 S� <br />ADMINISTRATOR C kJ� <br />VALUE OF WORK T'G.ia �i� (do not in.lude taxes) <br />(for commercial work <br />USE OF BUILDING <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-aoproved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />� eke h <br />SIGNED : l !��" ` L <br />"r c-�L---- DATE I Z- IZ" �' — <br />NOTES AND COMMENTS: <br />6/10/87 <br />1 o�c' I <br />