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CITY OF EVERETT <br />DATE: 1 \ - 1 O � �l <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: �� <br />JOB AOORESS j 4� 2 U S v v.., ���� <br />TENANT <br />FftOPERTY OWNER .� '2 .� S �.,..,� SD�,� <br />ELECTRICAL CONTr�ACTOR Q� c \�� = s� C� o c� t� � ��, c <br />LICENSc NO <br />ADMINISTRATOR <br />�p � i'�`-L S- I So �.5 EXPIRATZON DATc 1 q 3� <br />lL�.. M c �.i��.-, FHONE N0. '3 S 3•��'j� <br />VALUE OF WORK (do not include taxes) <br />�for commercia work � <br />USE OF BUILDING j� Q S� �. e.,, ��, <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 of <br />Washington. Applicants with such jobs �nust show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />� \ _ <br />�� << ��z i � i Y,�� <br />c�. <br />SIGNED : � �� <br />NOTES AND COMMENTS: <br />6/10/87 <br />192211 <br />� _ UATE � � � �' '� � <br />:w <br />