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" _/ <br />CITY OF EVERETT DATE: �/p�� /G�� <br />ELECTRICAL WIRING FFRMIT APPLICATION <br />JOB ADDRESS ��/,�� � �(� i� l[%�� � <br />TEPJANT <br />FROFERTY OWNR <br />Fc�: <br />ELECTRICAL CON1FtACTOR 1 /��/,�!// _�/�/' �fn/"L�� /if/�'_ <br />LICE�Ii SE N0. (�i�/���-L-r'i /�� /�7� EXPIRATION DATE <br />ADMINI57RATOR _�,�� ,�/ _/�✓�)�i�f� PHONE N0. �h �%" d Y�� <br />VALUE OF WCRK (do not include taxes) <br />(for commercia 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 hy� the State of <br />Washington. Applicants with suct� jobs must show the State-approvad plans <br />before a City of Everett pennit will be issued. <br />WORK TO BE DONE: <br />SIGNED : <br />NOTES AI� COMM <br />� � % <br />� /��� �,C/ <br />6/10/87 <br />1922H <br />` DATE a <br />