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�� <br />CITY OF EVEFtETT <br />ELECTRICAL WiRING PERMIT APPLICATION <br />JOB AODRESS <br />TENANT <br />a�o�EaTv owN� <br />r� . <br />DATE: ��`4 r5 q <br />FEE: � S � <br />�3 �� �!y �.��� <br />�Q rM va, o r cY <br />Su vr+ -C� <br />� <br />ELECTRICML CONTnr1CTOR %/,�;Z «/� ��aGZ C �5..�� <br />LZCENSc N0. ��//;(/%��L /7'G MC EXPIRATiON OATE /p�p �� 9' <br />ADMINISTRATOR �G� c{'p r t'�`a �•v, �+ a � PHONE N0. �3 �� %�l� <br />VALUE OF WORK (do not include taxes) <br />(for commercia� work ' <br />USE OF BUILDING �� stcQru c v <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health r.are 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 />WORK TO BE DONE: <br />S <br />�e e, �c lf l�' � Z <�-n o s��. <br />SIGNED %<<�� ��s�y,-��-�-� DATE ���5' <br />PlOTES AND CCP4MENT5: <br />6/10/87 <br />1922H _ _ ...___..-. -- <br />