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ry, <br />CITY OF EVFRETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />� <br />DATE: /D��/�% <br />FE�: �_ <br />JOB ADORESS 330� -�l�T� S� 5'.GeJ. <br />TENANT <br />FROPERT9 OWNER ��}� f� <br />ELECTRICAL CONTii ACTOR �('�,��� ���� �'�(J/�� <br />LICENSE N0. '��J%�F� �3� j�/% EXPIRATION DATE <br />� <br />ADMINISiRATOR 3��i���;,%� _ PHONE N0. ��✓% F9'�� <br />VALUE OF WORK (�o not include taxes) <br />(for commerciTork � <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 wilh such jobs must show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED : DATE �D �'/ <br />NOTES ADlD COP4MENTS: <br />6/10/87 <br />192E1i <br />