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CITY OF EVE�iETT <br />DATE: J(- a b� _� 9 <br />FIECTRICAL WIRING PERMIT APPIICATION FEE: <br />JOB ADDRE55 � ia ( 3, - �% � r^ � i'1 r 4 5�', <br />TENANT ({-' u �Zi 5';-�,',� e.� <br />fROPfftTY OYJNER 5i�� e <br />ELECTRICAI CONTRACTOR �"u�e t Sou �� c-.—/ec 1�£i� <br />LICQJSE N0. �Kq e"��� /a- / 0/4 EXPIRATION DATE �� 9 p <br />AOMINISiRATOR �� s,h,,.i PHONE N0. _ j( �/ �%�,➢ � <br />VALUE OF W�3K (do not include taxes) <br />(for commercia work <br />USc OF BUILDING S. r, j�, <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 />C�q�qe �use <br />i o a ,�, �) � /a o /��,�� ,�re.��cc <br />� �_ � <br />SIGNED : %� _ G�t�.- ��� �: y��� DATE �/- a a'- e� 9 <br />_ y <br />NOTES A� CCMMENTS: <br />E/10/87 <br />1S2EH <br />