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CITY OF EVERETT <br />ELECTFICA� WIRING PERMIT APPLICATION <br />JOB AODRESS <br />TENANT <br />PROPERTY OWN6t <br />ELECTRICAL CONiRF <br />LICENSI= N0. <br />ADMINI:iTRATOR <br />DATE• G� - �G�"�; I <br />FEE: <br />Y"i!_r*r�,r�� � �^� �r 5 EXPIRATION DATE (� - %/- �'T <br />t� <br />�= T�"�C /�7 T,f1 PHONE N0. "%`f J'� 1 r� <br />VALUE OF WORK /�,�r'� _ (do not _nclude taxes) <br />(for commercia ork5 <br />USE OF EUILDING � H y/� h Gi ac I <br />NOTE: WAC 29E-46-140 requires that plans for electrical work at educational, <br />ins!'itutional or health care facilities be approved by the .State of <br />Washington. Applicants wi1:h such jobs must show the State-approved plans <br />before a City of Everett permi.t will be issued. <br />wnRK To aE DONE: <br />/ > �y <br />SIGNtD ..� `"e,���±�t �.. �yt!✓, �r_.....__ DATE _'� ”' J _ ( r' �T <br />NOTES AND COMM T : <br />6/10/87 <br />1928H <br />