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�— <br /> CITY OF EVERETT DATE: _ �/ — ��� 7 <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: _ � � <br /> /��� � � <br /> JOB A�DRESS .,L/ � <br /> TENANT /J/f �`�� � <br /> PROPERTy OWNER f�!�✓.� <br /> � <br /> ELECTRICAL CON'fRACTOR ���i� �.,.� � <br /> LICENSE N0. / ,3 �� EXPIRATION DATE �Z �� � <br /> ADMINISTRATOR � � 'G� PHONE N0. �j �S� �.� �� <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work � <br /> USE OF BUILDING �� y��Q��J <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care farilities 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 /> J /��% �-�✓�c% c � <br /> SIGNED ; r7 <br /> —� ��Z�� DATE I I-�� ' / <br /> N07ES AND COMMEN75: <br /> I <br /> I <br /> i <br /> 6/10/87 <br /> 192E11 <br />