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CITY OF EVE72ETT <br />ELECIRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />,-. <br />DATE: �- �-�o <br />FEE: �� y - <br />�> ��S /p!/�,� P� <br />� (�vi�n e� ��vl /r, �Grsli�c. � . r, <br />PROPERTY OWNER /� /'���H�� ¢ �Pf /P� �'OhS � <br />ELECTRICAL CONTRACTOR / N 1�l/ c ���r %��r�c �i, � lot e� __ _ <br />LICENSE N0. `/I'TG/L/= /�/�%-/L� EXPIRATION DATE <br />ADMINISTRATOR i3-// LGo �� PHONE N0. •� 3�� a S 3�/ <br />VALUE OF WORK ��j. 7�j'� (do not include taxes) <br />(for commerciZ work �T' <br />USE OF BUILDING �S� Us� f .li.,� f..o Pr f-S <br />— �� <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 />SIGNED <br />NOTES AND COMME':i5: <br />6/10/87 <br />192Pf1 <br />�ATE /j( ���� <br />