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� <br />CITY OF EVERETT DATE: G/- �G-�� <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: �� <br />JOB ADDRE55 v//) � �f p �'an„Q S-f $�� �lJ. <br />TENANT <br />FROPERTY OWNER ��UN7 d �, j-�. <br />ELECiRICAL CONTr2ACTOR ��-n �LtG'�/��C <br />—c — <br />LICENSE N0. �n�C� �(o%!�J'1 Gj EXPIRATI�N DATE <br />ADMINISTRATOR ����d;��r�� PHONE N0. �"���(f��j <br />� � <br />VALUE OF WORK /'7$�. �' (do not include taxes) <br />(for commerciZ wark � <br />USE OF BUILDING � , ,� /.� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett permit will be issued. <br />i40RK TO BE DONE: <br />SIGNED : DATE �j `- �a � % <br />NQTES Atv� CCt4MENTS: <br />6/10/87 <br />19221i <br />