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:� <br /> ,-, 2 - ,_� <br /> CITY OF EVERETT OATE: �__ <br /> ElEC1RICAL WIR�IG PERMIT APPL.ICATION FEE: Z S�� <br /> . <br /> JOB ADf`RE55 �'O L �Y / l�•✓� �C GC a <br /> 'fENANT <br /> �o�rr owN� V' C <br /> ELECTRICAL CON7RACTOR �Q �/l/fi � � -P G — <br /> LICENSE N0. �'l� �' �i 7 I�/� EXPIRATION OAiE _ <br /> ADMINISTRAT�t PI-IONE N0. l�'�^Cl/ �J1 ,_ <br /> VA(.UE UF WORK (do not include taxes) <br /> (for cortmercia work <br /> USE OF BUILDING �/'Q� <br /> NOTE; WAC 296-<6-140 requires that plans for electrical work at educational, <br /> :'.nstitutional or health care facilities be approved by the .State of <br /> Washingtcn. Applicants with such jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE �ONE: <br /> SIGNED : ,/�' DATE (,! �Z �� � <br /> NOTES AND COMMENTS: � <br /> 6/10/87 <br /> 1928H <br />