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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR 5;1� <br />LICENSE NO. ff <br />ADMINISTRATOR OA'U" 1 °•' S' <br />VALUE OF WORK /,j DO. 0 /7 <br />(for commercia work <br />USE OF BUILDING /_"� ;I-P? /-I <br />DALE: <br />/ FEE: ~ <br />EXPIRATION DATE <br />(do not include taxes) <br />1pel <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 CONE: <br />m <br />q <br />SIGNED ! "f�—"`/ DATE / �% G• / <br />NOTES AND COMMENTS: <br />6/10/87 <br />19201 <br />