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� <br />CITY �F EVF�iETT <br />0.ECifiICAL WIRING PERMIT APPLICATION <br />JOB AOORE55 <br />TENANT <br />�oF�rv owr,e� <br />5 ?yA <br />DATE: <br />Sn �,.� i, <br />A�v �..:a.r /.� c- ✓ <br />ELECTr2ICAL CONTi�ACTOR B o i t o.=.� '� �!_F<. <br />LICENSc NO <br />ADMINISTRATOR <br />i <br />/�) ,S' ,�� .-, <br />� <br />FEE• <br />,n� <br />�� �� i�F /( j D'`' EXPIR�TiON DATE <br />fr Ty s /�l�l-L SPT/ FHONE N0. j 3%- ,�S �%/ <br />VALUE OF WOFiK (do not include taxes) <br />(for commercia worl: ' <br />USE OF BUILDING ��1�� <br />NOTE: WAC 296-46-140 requires t`�at plans for electrical work at educational, <br />ins�itutional 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 />T �-�,-�,� j'n � � -�r /'o C i= <br />SIGNED / �f �� :�= �����-�� DATE _ /G S�' S �' <br />NOTES A�'D C��4PtENTS: <br />6/10/87 <br />192211 <br />