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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />�OPERTY OWNER <br />(� ' C'�r�.� <br />RATE: <br />� � � a '% <br />FEE: _ o�• � <br />6ti.� �T Y1'�- v.---�' <br />� �� t I'1 �" ( ..'-v��.. <br />ELECTRiCAL CONIRACTOR � _— <br />LICENSE NO. �T''�e I`� ��2 (2 Z EXPIRATIOW DATE c� 77/ FS� <br />ADMINISTRATOR �� G� vI i� PHONE N0. � 3`� - 9�� <br />VALUE OF WORK (do not include taxes) <br />(for commercia work - <br />!JSE OF BUILDING �"���I� J " v� � �J <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 />��J ° v Y <br />SIGNED : // �i�/ �� '-'t-. � DATE � � � ,_ <br />NOTES AM� COMMENTS: '� <br />6/10/87 <br />192EH <br />