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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APP�ICATION <br />JOB ADORE55 �j �% I S�' �'.� d <br />TENANT <br />�oPEaTv owr,� <br />� <br />;1ATE: 2 - / ` � � <br />Ai' A r � �• <br />ELECTRICAL CONTi�ACTOR /} v/�/� f"% s t' ��� <br />LICENSc N0. I>��� ='� /G,� v rJ EXPIP,ATION DATE <br />A�MINIS'fRATOR ,SEi�/ S �l�f�- �:��T PHONE N0. <br />FEE: <br />VALUE OF WORK (do not include taxes) <br />(for commercia work � <br />USE OF BUILDING <br />MOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />+.nstitutional 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 oe issued. <br />WORK TO BE DONE: <br />SIGNED : -�fS ��� •"•'% ����-..c_ DATE i _ ,�I - ;�� Ti <br />NOTES AND CCtdMENTS: <br />6/10/87 <br />192E1i <br />