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CITY OF EVERETT � DATE: �_ a'���y <br />ELECTRICAL WIRING PERMIT APPLICATION FEE; 5 6� <br />JOB AD�RESS / r �d � ��4r�//�So �/ J' � F �. <br />TENANT �rJm d- �iv�i-��r, <br />PROPERTY OWNER 'j�,,�.� <br />ELECTRICAL CON7RACTOR (� r � E'[. �G�r'�C <br />LICENSE N0. Q/jE,�/E�Gti m�i EXPIRATION DATE �fj <br />ADMINIS7RATOR ,�� �� ,(� PHONE N0. � g Z_ GS!/ Cl <br />� ,n.�,_ <br />VALUE OF WORK /C/�0 � (do not include taxes) <br />(for commercia work <br />USE OF BUILDING ��� �„�� r <br />- -� , <br />NOTE: WAG 296-46-140 requires <br />institutional or �ealt <br />Wa;hington. Applicants <br />before a City of Everett <br />WORK TO BE DONE: <br />that plans for electrical work at educationaZ, <br />h care facilities be zpp:oved by the .State of <br />with such jobs must show the State-spproved plans <br />permit will be issued. <br />SIGNED : � DATE �. 2'7- p' S <br />.( <br />NOTES AND COMMENTS: <br />s� [ S t <br />4 <br />���1. T` 'f:.�• <br />�t' P <br />6/10/87 <br />1928H <br />