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. � � <br />CITY OF EVERETT DATE: c , <br />ELECIRICAL WIRING PEFtMIT APPLICATION � FEE: ��t� ^ <br />JOB AODRESS %%� �y�� <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR �! �� � /�c/1'�� G <br />LICENSE N0. ��F,L ��cJO J�. G- EXPIRATION DATE �oZ-,3I`fl" % <br />� <br />ADMINISTRATOR � h� j,�/fyl�V' PHONE N0. ,��%� ��✓�� <br />VALUE OF WORK ido rot inciud� taxes) <br />(for commercia work <br />USG OF E?UILDING tSif, fJ� <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 />U,l� 9 r 4 9'in 9 S� r 1�� c-v <br />SIGNED : <br />NOTES <br />6/10/87 <br />1928H <br />DATE Sy 6 �i� <br />