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CITY OF EVERETT <br />ELECTRICAL WIRTNG PERMiT APPLICATION <br />DATE: J — �� � � � <br />FEE: <br />JOB ADDRESS ��I / S� �1 �r� L/ V <br />TENANT �/ 1 V1i1 -SI% E�I C <br />PROPERTY OWNER S ��ti� F <br />ELECiRICAL CONTRACTOR �� _ <br />LICENSE N0. <br />ADMINISTRATOR <br />EXPIRATION DATE <br />PHONE N0. ,,2 SZ � 5 � �% <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <br />GGt {�R �( F <br />NOTE: WAC 256-46-140 requires that plans for electrical work at educational, <br />institutional or health care facil.ities 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 />ct/ �'rE �y� cv �cr ra �i E <br />SIGNED : �-��1�L'I ,��1 i�-�-�-�%�� �ATE <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928fi <br />