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CITY OF EVERETT DATE: a�, G! %I� <br />ELEC1FtICAL WIRING PERMIT APPLICATION FEE: �7-S� <br />aos aooREss ��/a ; Se f� �j/ t'� i��e <br />TENANT �-- <br />PROPERTY OWNEi <br />ELECTRICAL CONIRACTOR c /f�- <br />LICENSE N0. <br />ADMINISIRATOR <br />EXPIRATION DATE <br />PF'ONE N0. <br />VALUE OF WORK (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 Pacilities be approved by the State of <br />Washirgton. Applicants with such jobs must show the State-approved plans <br />before a City of Everett peztnit will be issued. <br />WORK TO BE DONE: <br />/ f /i u � <br />/ //.. �/'O D/it- /% f a f'ri- G I! � w �i /!' d. T <br />s � <br />SIGNED : �Z;P�t-�if %��f'�� OATE oa `3 S� <br />NOTES AND COMM 5: �'��� ��i�`^ <br />6/10/87 <br />1928H <br />