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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLSCATION <br />JOB ADDRESS <br />TENANT <br />Fl�OPERTY OWNER <br />/ �.'.",, <br />OATE: � <br />, -� , � � G <br />��_OC� <br />ELECiRICAL CONIRACTOR 3�i 1 <br />LICE�Sc N0. 11V = i- 7' �/�(.2 '1 EXPIRATZON DATE <br />A�MINISIRATOR ,J� /[ c Ii'l�t`,C PHONE N0. ,'�,�</- �Cj ��_ <br />VALUE OF WORK (do not include taxes) <br />(for commercial work _ , <br />USE OF BUILDING <br />NOTE: WAG 296-ti6-140 requires that plans for electrical .ark 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 />befor= a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />L <br />SIGNED : Li� �aL�,(i � ('?C�laCi�/ DATE�. � i �' . � I J� <br />NOTES AND COMMENTS: � <br />6/10/87 <br />1928H <br />