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CITY OF EVERETi <br />EIECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRE.35 <br />TENANT <br />f�2C�ERTY OWNER <br />DATE: � � ��' b� �' <br />FEE: <br />r / <br />ElECiRICAL CONTRACTOR � 'J�J3'�,J� r i.� ��� ��;Y.�iL <br />LICENSE N0. �2y'-5.3 �'�/G� EXPIRATION DATE /"7_ ,�� � <br />ADMINISTRATOR �py„ ���sSi�� PI-IONE N0. , �� 7 `Z3�, / <br />VALUE OF WORK 7. SD .�%!� (do not include taxes) <br />(for commercia work <br />USE OF BUILDING ('�7y� .� <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 iD BE DONE: <br />SIGNED : j��1- <br />NOTES MD COMMENTS: <br />6/10/87 <br />1928H <br />`l/U L� �-�,�, <br />DATE / — 7 � �C, <br />