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CITY OF EVFRETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />DATE: <br />FEE: <br />lSac1 - <br />JOB ADDRESS <br />TENANT Cyz'-kts uz <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR Q P L <br />LICENSE NO. pLW t Z \S O L-S EXPIRATION DATE <br />ADMINISTRATOR PHONE NO. <br />VALUE OF WORK _(do not include taxes) <br />(for commerci work <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 />WORK TO BE DONE: <br />H MO Al l \ R\L!-'-L <br />SIGNED DATE <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />