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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICRTION <br />�os aooiE$$ <br />TENANT <br />�o�rr owr�x _ <br />ELECIRICRL CONif2ACTOR <br />,� - DEr.F�u <br />^� - . � <br />.� <br />;I, <br />. � <br />. _ .................... _ _.......... . <br />CITV nr �,��[:�...�_... <br />LICENSE N0. EXPIRAlION DATE EYFit'(�SI//�L `1 <br />//�� �,, PFIONE N0. c��'o%/��_ <br />AOMINISiRATOR Gy .�M �•��-� , <br />� <br />VALUE OF WORK ���� (do not include taxes) <br />(for commercia�rk � � <br />USE OF BUILDING <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 oP <br />beforea�CityAof Everett perniit will be issuedshow the State-approved plans <br />WORK TO BE DONE: <br />SIGPED : <br />0 <br />6/10/87 <br />1928H <br />DATE ����S�l% <br />