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CITY OF EVERETT <br />ELECifiIf;AL WIRING FF�2MIT APPLICATION <br />JOB AOJnE55 <br />TENANT <br />FROPERTY OWNER <br />DATE: I�� Q� q <br />r <br />FEE: �� �j�i <br />_ �) `, � e o S�-o r� � <br />I <br />ELECTRiCAL CONTRACTOR _� p a, �rs� � �� �'{�r � c_ rn c <br />, <br />LT_CENSE N0. 5��-U F�1. I�'1 R D EXPIRATION DATE � q��, <br />ADMINISTRATCR Shu��e Ro�bovr� FHONENO. 2Sa')��"Z <br />VALUE GF WORK $ 2�-p n (do not include taxes) <br />(for commercia wor< <br />U5E OF BUILDING _�J �, �� .� r, S't�o �_ <br />NOTE: WAC 296•-46-140 requires that plans for electrical work at eCucational, <br />institutional or health care facil.it±es be approved by the State oP <br />Washington. Aoplicants with such jobs must show the State-approved plans <br />before a City of Everett permit will be iss��ed. <br />WGRK TO BE DONE: <br />- �.;Un <br />. <br />SIGNED : / .%�-_��� OATE I Z - �� - � I <br />NOTES AND COMMFNTS: � <br />t� c ed C. �. -i-a CA.J�r <br />6/10/87 <br />1928H <br />