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CITY OF EVERETT DATE: �� — ( I - D � <br /> � <br /> ELECiRICAL WIRING PERMIT APPL.ICATION FEE: � <br /> JOB ADDRE55 �_�� � ' �` lI /� / F (�1�. �-'-�/f � <br /> TENANT <br /> PnoF�rv owN� ��� ti F � /_ /,,( �—,�� <br /> ELEC7RICAL CONiRACTOF' (�� � �o f S_ > <br /> LICENSE N0. �[� /fn s /� � G O L J� EXPI.RATION DATE ���3 � � � y <br /> ADMINISTRATOR ���/ //(� S� Pl10NE N0. J �j��J Lf � l� ?�i <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING S F � FS��C�- ��' - <br /> NpTE; WAC 296-46-140 requires that plans for electrical work at educatirmal, <br /> � institutional or health care facilities be approved by the State of <br /> ^j Washington. Applicants with such jobs must show the Stete-approved p13ns <br /> � before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> (.e� /�F �-�S� % � U �l.f P <br /> ��� L�� f � a.C� UC �S�a i » <br /> SIGNED : � /��I�+' �/li✓L"� DATE — � �'— �� <br /> NOTES APlD CGMMENTS: <br /> 6/10/87 <br /> 1928H <br />