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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />DATE: <br />FEE: '35,00 <br />_ Gig S q -L= <br />N� C ' } (,j, 1 oc�, 1"3 <br />PROPERTY OWNER <br />\ <br />S G <br />ELECTRICAL CONTRACTOR <br />�1 <br />p <br />_� I 1}l�� Y -%T <br />LICENSE NO. <br />ADMINISTRATOR <br />S cC{ 1{ Ll L j�'/ % �(( __�'' EXPIRATION DATE <br />ZS J1C1 t I Q l C.Olil Y` PHONE NO. Z S <br />VALUE OF WORK <br />�� <br />(do not include taxes) <br />(for commercial <br />work <br />USE OF BUILDING kCC-,, piA-<- owc—(_(-I <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 />NC VJ 7Cl� rlvn P SE�'VICE <br />SIGNED : <br />NOTES AND <br />6/10/87 <br />192211 <br />DATE lOC? <br />