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i ��� <br /> CIiY OF EVERETT DATE: � � �� C � <br /> ��� <br /> ELEL'Tf2ICAl. WIRING PERMIT APPLICA7lON FEc: ' 1�_ _,__ �_� , <br /> ,]CB ACCRESS � L� (n• � � 1 l`�� Y\ 1 1,� ���. - � � <br /> TENANT �r' �, ��1� �� ,��C1 ���lZ �1Q 1_l� C i 1 _ <br /> F�OPERTY OWNER �l' �I��� • <br /> ELECTF ICPL CON TRACTOR __��� � `('� 1 (�C I 1Z � � <br /> LiCE�Sc N0. ����L L / ��J f�-I-k� EXFIP.ATION OATE �C I L I J1'� Y? <br /> ADMINISTRATOR i�llulyl�_�j I'�IUIt � �'t'1 FNONE N0. ����� � �J� <br /> VA�UE OF WCRK (do not include taxes) <br /> (foi commeicia woI'k) ' <br /> USE OF BUJ�_DING � / C� C� T A I1� �-�1 1\E� � ��,�� C L� _ <br /> NUTE: 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 shuw the State-approved plans <br /> before a City of Everett pe:mit will be issued. <br /> N'ORK TO BE DONE: „ <br /> ��.1:' �2 i� �'1 � S�U � �r i� �1.c� a n �� <br /> � E l,� � �C� 1� �T C.1\��� 1'� o►� c` — <br /> ? � . . � <br /> � v DATE <br /> SIGtJED : � - - �.' - <br /> NOl'ES APID COM�tENTS: � <br /> 6/]0/87 <br /> 192211 <br />