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CITY OF EVERETT <br />ELEC7RICAL WIRING PE-iMIT APPLICATION <br />JOB ADCRE55 <br />TENANT <br />FROPERTY OWNEi2 <br />oaTE: / IR /9 C� <br />Fcc. <br />ELECTRZCAL CONTRACTOR ����Z^-��N ��-TTZIC TI�/C <br />LICE�ISE N0. �Q,RS�,S���� jzv EXPIRATION DATE <br />ADMINISTRATOR 7C�(J��SZ N? PNONE N0. 33g-��3��,_ <br />VALUE OF WORK SQ7 � (do not include taxes) <br />(for cortmercia work <br />USE OF P�ILOIt� (� 1 C� �l � I• Ql� _ <br />NOTE: WAC 296-46-140 requires that plans for electrical work at e_ucational, <br />institutional or health care facilities be approved by the State of <br />Wsshington. Applicants with such jobs must show the State-app_�v?d plans <br />Uefore a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />_�ls�u 'z �l�P P��MPS <br />SIGNED : � ' %�.�-�. DATE �7/�� <br />NOTES At�D COMMENTS: <br />6/10/87 <br />1922H <br />