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pn+:o� <br />CITY OF EVF�tETT <br />2ECiRICAL WIRING PERMIT APPLICATION <br />JOB AD�RESS <br />TENANT <br />PROPEI2TY OWNfft <br />ELECiRICAL CONTRF <br />LiCENSE N0. <br />ADMINISTRATOR <br />/Gns - 3S iv� <br />,�- . �,�/ <br />DATE: ��z �a d <br />FEE: � S � <br />C% I UC� ���5� � EXPIRATION DATE _ <br />/r/� �/'P PHONE N0. �f��j� '�I� <br />VALUE OF WORK ido not include taxes) <br />(for commercia work ^ ^ � � - <br />USE OF BUILDING /��,�7��lrt � �' <br />NOTE: �VAC 29G-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 rrust show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE <br />� <br />� <br />SIGNED : <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />e <br />DATE 2 �� <br />a <br />