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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />;;�8 ADDRE55 <br />��aNr <br />FaaF�rr owN� <br />DATE: _� / r�� - <br />FEE: ��� <br />;� / : <br />i ._ , l. -+ <br />.� r <br />ELECTriICAL CONT�i ACTOR �`�' E/P a:s � <br />LICEVSE N0. �L-. S� 2ZPlc> EXPIRATION DATE /yXb� <br />,� FHONE N0. ??s� � 8"3�/ <br />ADMINI57RATOR � r, � � sra - <br />VALUc OF WORK ZS�I � (do not include taxes) <br />(fcr commercia wotk ' <br />USE OF BUILDING <br />NOTE: WAC 296-46-_40 requires that plans for electrical work at educational, <br />instituticnal or health care facilities be aoproved by the State of <br />4+ashington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett permit will be �ssued. <br />WORK TU BE DONE: <br />SIGNED : ��C/-'+"�/`v"a� � DATE �C����— <br />NOT=S A�`J CCtdMENTS: <br />6/10/87 <br />i92cH <br />