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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />DATE: <br />� z � - ��� � s � <br />rK�. <br />i ', <br />Co - � �i ' l��' <br />ov <br />FEE: .��' <br />�������I <br />l�(ir� �i � zo'� <br />�oe aooaEss � Z <br />TENANT 147'✓� �i n�-{, G4 ��' GC. I� � <br />PROPEftTY OWNER � J�"1'vl � <br />ELEC'IRICAL CONIRACTOR <br />LIi.E�Sc N0. EXPT4ATICN DATE <br />A�MINISTRATOR ^ PHONE N0. �SS' S I2� <br />VALUE OF WORK � 5 O (do not include taxes) <br />(for commercia wor�cJ <br />USE OF BUILDING I�/ �i1 � <br />NOTE: WAC 296-4ti-140 reyuires that plans for electrical work at educational, <br />institutional or health care facilities be apvT'oved by the .State oP <br />Washington. Applicants with such jobs must shc;� the State—approved plans <br />before a City oP Everett pe:mit will be issued. <br />�enn�i Tn nC I'tnAIC. . • <br />SIGUED : <br />NOTES AND <br />6/10/87 <br />192�H <br />oar� � z�i'/�`i� ' <br />