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� - <br /> CITY OF EVFRETT DATE: o2`�C- ��r� <br /> ELECIRICAL WIRING PERMIT APPLICATION FEE: _ <br /> JOB ADDRESS �-{��I U F�� I .�l/ • <br /> TENANT N�u� <br /> FROP�'s'TY OWNER � • ����}1l-)bl R-C/(Tl�'J LO _ <br /> ELEC7RICAL CONiRACTOR �e �� ' ��F'"�l�(lC. _ <br /> �ICE��E N0. EXf�IRATION DATE <br /> ADMINI57R4TOR PHONE 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 p'_ans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants witn such ,jobs must show the State-<�pproved plans <br /> before a City of Everett permit will be issu=d. � <br /> WORK TO BE DONE: 1 <br /> � <br /> �—�v�.l( h <br /> I R�L� �,�v�w-� ' <br /> SIGNED : �- DATE �Z '- 1(a ' � <br /> � <br /> NOTES AIJD COMMENTS: <br /> 6/lU/97 <br /> 192pH <br />