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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS 5& Ll` <br />TENANT ",t,,OV PAy/ <br />PROPERTY OWNER krirtn)Y lHy <br />DATE: 3z1 s & <br />FEE: -��j o0 <br />2 , (og! <br />_Ty CF c�:__....__. <br />ELECTRICAL CONTRACTOR CT IU[ CILTS IK�EZP. I&C, -­13 VOpt. <br />LICENSE NO. aCI IUE I&Jg 6Pj EXPIRATION DATE / GL <br />ADMINISTRATOR 2C U i2- C,95 61112 PHONE NO. `7?6-,Q, <br />VALUE OF WORK <br />(for commerci <br />USE OF BUILDING <br />not include taxes) <br />NOTE: WAC 296-46-140 recuires that plans for electrical work at educational, <br />institutional or health care facilities be acproved 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 />_ C7 <br />_Lr'J5 13 LL 2W X wNP /JLQU C� <br />(o,Or AO/),Tx.,) '/ 11h) //'y <'x Is; rw' <br />SIGNED : <br />NOTES AND COMMENTS: <br />6/10/87 <br />192EH <br />IJI.GCO DATE 3 / / / <br />