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, <br />CITY OF EVERETT <br />ELEC1ftICAL WIRING PERMIT APPLICATION <br />JOB ADDRE55 <br />/� � <br />DATE: (J / (�� <br />FEE: ,j S � <br />TENANT �( '�/i%il/O/Z � v L-� Ir�� L^7Z- <br />PROPERTY OWNER 7(�%�7� P�_ <br />ElECTRICAL CONTRACTOR � /� ( -��<_ � (� Z ( -C� C rY � �- <br />LICENSE N0. �' �' �I=�L 1`� cS� �- ��- EXPIRATIUN DATE l D 3! � <br />ADMINISTRATOR 1�1 L L� �I I� PHONE N0. ���� �� / 3y <br />VALUE OF WORK �—` (do not inclu�e taxes) <br />(for cortmercia work <br />USE OF BUILDING ����� �J �y�� vl C G� <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 />Wash_igton. 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 />jrL:�� �� ��n.� 5� SG-�v� cG� <br />SIGNED : <br />NOTES ArID COMMENTS: <br />6/10/87 <br />192EH <br />DATE ��( � <br />