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CITY OF EVFRETT <br />ELECTRICAL WIRING PERMIT APPl1CATI0N <br />oarE: 7—// —�'� <br />FEE: <br />JOB ACDRE55 �,�n �> ��i � t � �Er-' <br />TENANT <br />PROPERTY OWNE� <br />E1ECIRICA� CON1FtF <br />LIC`.VSE V0. /��f'% .'� � I.'�%Z tG E(P�4ATICN �ATc /oZ r�� 1� <br />AOMINISTRATOR �' ZLA'0"�*-- PNONE N0. .�,31'�`��% � <br />VALUE OF WGRK (do not include taxes) <br />(Por ccrtmerciat worxl <br />USE OF BUILDING �.� SL �^-G�tiL.� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educatianal,� <br />institutional or health care facilities be approved by the SWte of <br />Washington. Apo'icants with suc'� jcbs must show the State-aq�Rroved plans <br />before a City of Everett pe^nit wiil be issued. <br />WORK iD 9E DONE: <br />�0 <br />i� <br />SIG��E7 : �✓`L'^�r, l G j/t�.i.w-� �ATE 7—/�'.��7 <br />NOTES AP0 CC��ME`ITS: <br />5/1^/97 <br />1?�'u <br />