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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />DATE: %�/�� <br />.� t��l�"Vi <br />FEE: <br />��i/rf Socc„-c� Il. e <br />p.r�. /r��.c,r- <br />0.ECTRICAL CONTRACTOR ^%1"4i� S ,����r�G <br />LICENSE N0. Y1Cn b Sd ZZ�i.E-7 EXPIRATION DATE / 9,f� <br />ADMINISTRATOR � /. �[ � �sro PHONE N0. �3y� b?y <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING �u� <br />NOTE: WAC 29b-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washitx�ton. 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 />(�J � �-c H u G+�✓s <br />SIG�D : //��i ��,,,,��� _ DATE %�/ ��'7 <br />D <br />NOTES AtM COMMENTS: <br />6/10/87 <br />1928H <br />