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CITY OF EVERETT pq�: c/% 7� _ S'� <br /> ELECTRICAL WIRING PERMIT APPLICATION ' �E; <br /> JOB ADDRESS /() j h 6 /L,�CE /C�,� <br /> �� <br /> TE�VANT _f1l��Ut�z J� Sn�i-� '�f. <br /> PROPERTY OWNE2 Tjyia-re <br /> ELECiRICAL CONTRACTOR _�/'� L G '� �fKI c <br /> LICENSE N0. _(b F_ -r7��./7j�� EXPIRATION DAl'E <br /> AGMINISTRATOR yL��� ��,�«� PHONE N0, l�� - �c/j� <br /> VALUE OF WGRK /�j�r ""f' (do not include taxes) <br /> (for commercia worl< <br /> USE OF BUZLDIN6 _ �C S <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educ�tional, <br /> institutional or health care facilities be approved by the State of <br /> Washirgton. Applicants with such jobs must show the State-approved plans <br /> before a City of E�erett pennit will be issued. <br /> 'dORK TO BE DONE: <br /> SIGNED : c _ ��U,K�,/ iS�^-Cs,��+3'� DATE <br /> NOTES A� COMMENTS: <br /> 6/10/87 <br /> 1922H <br />