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i <br /> ., <br /> CITY OF EVERETT DATE: S�Q <br /> ELECiRICAL WIRING PERMIT APPLICATION F _'`�Q ,U' � <br /> ✓--- <br /> JOB ADDRE55 � � � �/'( S�"� S___� <br /> TENANT �r � <br /> �7" <br /> �20PERTY OWNER�� <br /> , <br /> ELECTRICAL COiJTr�ACTOR <br /> LICENSE N0. ' � �. �-- � XPIRATION DATE � �- 7j � �-�i �I <br /> ADMINISTRATOR (-Q�Q�J��„Q//y��,� PHONE N0. �I�, S, � 4 � C, <br /> VALUE OF WORK � �y- , '-] � (do not include taxes) <br /> (for commerci� wo k <br /> t <br /> USE OF BUILDING <br /> �OTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilitie:s be approved by the State oP <br /> Washington. Applicants with such jobs must show the State-approved plan_= <br /> before a City of Everett permit will be issued. <br /> YIORK TO BE DONE: <br /> � � <br /> � <br /> la ' _ � <br /> � I <br /> , <br /> , � -' <br /> i <br /> SIGNED : ���� DATE <br /> P10TES A ��1MENT5: <br /> 6/10/87 <br /> 192811 <br /> ,V <br />