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l <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />OB ADDRESS <br />FIA <br />DATE: /,Q — 9 — U 7 <br />FEE: <br />TENANT /�O !-/�J , G I/ ,e ,7 r til '�7-!� <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />LICENSE NO. <br />�f�� L /�_Q le,, ;�, <br />EXPIRATION <br />DATE <br />ADMINISTRATOR <br />d ��t Ile <br />PHONE <br />NO. <br />VALUE OF WCRK (do not include taxes) <br />(for commercial work <br />USE OF BUILDING 5" //� <br />a` <br />NOTE: WAD 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 />SIGNED : <br />NOTES <br />6/10/87 <br />1928H <br />DATE /Qf / — 7/7 <br />