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� <br />CITY OF EVERETT <br />ELECiRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />� <br />DATE: ✓ I�� �% �" 7 � <br />FEE: �_ <br />���31 �U 51c�h �t SL,c� <br />� <br />PROPEFtTY OWNER i� % A/Z � /� 20�� <br />ELECTRICAL CONT�i ACTOR I� u%� ot"2 J E/f C <br />I.ICENSE NO <br />ADMINI57RATOR <br />�L/� p� !63 D '% EXPIRATION DATE <br />Si Tc1 .s i? /.� _ J:� PHONE N0. 3� 3�- S� ��L � <br />VALUE OF WORK (do not include taxes) <br />(for commercia work ` <br />USE OF BJILDING ��� TY 1vu/� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educat.ional, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the StatP-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONc: <br />��l . <br />SIGNED : �� l� �� °�y'���� OATE <br />-9, <br />MOTES AND C��4MENT5: <br />6/10/87 <br />192E11 <br />