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CITY OF EVERETT DATE: <br />ELECTRICAI WIRING PERMIT APPLICATION <br />JOB ADDRESS �1 \ \ 'Z — � E W 5� ' <br />TENANT �ec �n.1 �i � S S �-�e-r <br />FEE: � 5 �` � <br />a�o�trv owN� SR -�� <br />ElECTRICAL CONTRACTOR ,�� � �� � �� e� . c <br />LICf_NSE N0. � , � �, , � p . "� � � L�EXPIRATION DATE {e — g� <br />ADMINIS'fRATOR �..y � _ J �+-�o � � PI-�ONE N0. (P S � - �o �- � <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <br />NOTE: WAC 296-46-14G 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 />SIGNED : "' - �qTE �Z�-Z�� � g <br />�DTES AND COMMENTS: <br />6/10/87 <br />1928H <br />