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z <br />CITY OF EVERETT DATE <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />iu <br />TENANT <br />6 <br />-.5i—eF% <br />FEE: 7 n 77 C'o <br />PROPERTY OWNER e-,F- 7- <br />ELECTRICAL CONTRACTOR sA CCi�y <br />LICENSE NO. O ( f% ( 1j Ci. 02CtEXPIRATION DATE (cl <br />ADMINISTRATOR t F 7 � PHONE NO. 2 <br />VALUE OF WORK cFO o off, (do not include taxes) <br />(for commercia work <br />USE OF BUILDING aT{i c_ <br />1 97 _)72-O <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 jcbs must show the State -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />N� �.�,e � ,�� s jF,�� ,— SP�s e r arc., �,c •�,9.� <br />SIGNED :/ <br />NOTES ENO COMMENTS: <br />6/10/E7 <br />192811 <br />DATE <br />