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CITY OF EVERETT <br />EIECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRE55 <br />TENANT <br />DATE• C -- � �''" 7�� <br />FEE: <br />C�., '7 - <br />l 7� � � �"'OvlF-! �� /L� � /���G' <br />Gv�v.U«- %��L-� — <br />PROPEftTY OWNER GcyN� ' T/�'�-�/z <br />ELECTRICAL CONiRACTOR �� k�, C�z��i�<< <br />LICENSE N0. �Q6G.�i!/G/f/ r 7� i EXPIRATION DATE !�'f �j0 <br />ADMINI57RATCR �dU ��crl✓��ti/'l�2 PHONE N0. 3j y ! 7 70 <br />VALUE OF WORK ��uv c•v (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 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 />�'1, �z <br />`� `/! C. �� GL[��!�. L. �G.. i d J�-C/ � �O <br />i'Io.�' � F�� �/�=��r�.� � <br />SIGNED : �d'Li �2i�-���•-�-•.�� DATE G ` � � _ 8'% <br />NOTES AND COMMENTS: <br />G/10/87 <br />1928H <br />