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CITY OF EVERETi <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPER TY OWNER <br />�• � <br />DATE: / ����/ <br />FEE: rS� sJ <br />�,«s .�'''�e�,�:�'i.,�r <br />ELECTRICAL CONIRACTOR �j S� iy�^ n� �/c c T <br />LICENSE N0. �/SS/9JG/��7L'L EXPIRATION DATE �' S� �/ <br />ADMINISTRATOR �-.. 12�,1S�i��1n/ PHONE N0. �SS• S�/23. <br />VALUE OF WORK �J w"U (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <br />C'�i✓7,yA? <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 />/ %� f�j� <br />SIGNED : �_/ (� �_ <br />NOTES At�ID COMMENTS: <br />6/10/87 <br />1°22H <br />DATE �I r � � ' � � <br />�rO�c�S <br />