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CITY OF EVfRETT <br />� OATE: �' /��`r -� � <br />ELECTRICAL WIRING PEF�MIT APPLICATION <br />JOB ADORESS <br />TENANT <br />�o�nr owN� <br />� <br />� <br />I'� <br />FEE• c3n,no <br />snriE — <br />0.ECTRICAL CONTRACTOR BRINK' S HO^fE SECURITY <br />LICENSE N0. <br />ADMINISTRATOR <br />'3RINK'S HS 148LE EXPIRATION DATE *�+n�u 'it 1990 <br />PHONE N0. 575-04Q7 <br />VALUE OF WORK (do not include taxes) <br />(tor commerciTwork <br />USE OF BUILDING KESIDENTIAL / Commercial <br />NOTE: WAC 296-46-140 requires <br />institutional or health <br />Washington. Applicants <br />before a City of Everett <br />WORK TO 8E DONE: <br />that plans for electrical work at educational, <br />care �acilities be appr�'�d bY the State oP <br />with such jobs must show �: State-approved plans <br />pennit will be issued. <br />Ins ection of Intrustion Alarm. <br />�; <br />SIGNEO : �l�i�� DATE <br />N(]TES ArD COMMENTS: <br />6/10/87 <br />1928H <br />