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CITY OF EVEAETf �ATE: oC 3 - c� �' <br /> ELECTRICAL WIRING PERMIT APPLSCATION �E� �s°U <br /> JOB ADDRESS �? �� L�,XY l�-e_ �J ^ <br /> TENANT <br /> FROPERTY OWNER �w,..Y �/, <br /> 0.EC'TRICAL CONIRACTOR /J, ,�� <br /> LICENSE N0. EXPIRATION DATE <br /> AOMINISTRATOri PHONE N0. 3.Y� - SO"C 2- I <br /> VALUE OF WORK (do not include taxes) I <br /> (for commercia woru � <br /> � <br /> USE OF BUILDING �T � <br /> i <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be app:oved by the State of <br /> Washington. Applicants with such jobs must show the State-approved plans <br /> hefore a City of Everett permit will be issued. <br /> • I <br /> WORK TO BE DONE: j <br /> — �� li <br /> ii <br /> � <br /> _ , , i <br /> I � [ /_ <br /> : -�; <br /> SIGNED : / _ ifi _ DATE ,�— � � �� <br /> NOTES AND CO�NTS: <br /> �/ <br /> 6/10/87 <br /> 1928H <br />