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CITY OF EVF32ETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />DATE: <br />�iCl2 '�c ',���� �1["C_ <br />/7 L��t/if// S �� . �t/L-' L S o�-/ <br />ELECiR2CAL CONiRACTOR D Gc� c i` <br />LICENSE N0. <br />ADMINISTRATOR <br />FEE: <br />c' � �'� � �— <br />'cXPIRATION DATE <br />PHONE N0. :Z'S� - /C� 3 7 <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING S l .C�'�/�` � � ��� � �� � � ' <br />NOTE: WAC 296-4G-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 />WORIC �'J BE DONE: <br />�� �'�_- � c �� <br />t i� �i i? i� c� L= �!-c � �er.y=r-�� S � r' �-c' o f'�'! i'� <br />SIGNED : .��� � i� � 7 c. � !7, �- ���, �a.-..-i � DATE / 2 - � — <br />NOTES AND COMME�TS: <br />6/10/87 <br />192EH <br />J <br />