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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADORE55 <br />iENANI <br />FftOPER7Y OWNER <br />ELECIRICAL CONiAA <br />oa�: /02— 7 �� % <br />—_� _s <br />FEE: <br />r��llic� f���f� _ <br />LICGNSE N0. I�' H I�i�"CC I l a, � I� �� EXPIRAT_TON DATE y� -�'�j �� <br />ADMINISiRATOR �j,'7,�'� f 1 i� ��"1 ("l l; PHONE N0. y�j ��a 5 <br />�" '-J <br />VALUE OF WORK ,y yd0 . d O ido not include taxes) <br />(for commercYa'I work <br />USE OF BUILDING ;'j��'� S�o.0 <br />NOTf': WAC 296-46-140 yequires that plans for el=ctrical work at educatianal, <br />institutional or health care facilities be approved by the State of <br />Washington. Appiicants with such jobs must show the State-approved pians <br />bePore a City of Everett permi.t will be issued. <br />WORK TO BE DONE: <br />SIGNED : _ <br />NOTES AND <br />ti/10/87 <br />1°22H <br />