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i <br /> I <br /> I <br /> CITY OF EVERETf DATE: � � %� �`� �;? � <br /> ELECTRICAL WIRING PQ2MIT APPLICATION FEE: <br /> JOB ADCRESS �/C� `��� � %� �>�, S • �, - <br /> TENANT s�/��� y �-,��� � <br /> PROPERTY OWNER• --- li <br /> EIECTRICAL CONiRACTOR �a� /�P�/ i`�/y __ I <br /> LZCENSE N0. �dPr*� �/{� ����� E>(PIRATION DATE' ,//`' '>'��ylJ __ I <br /> �� �'' / <br /> ACMINIS'fRATOR ��c/;',t/ /�//����'j PHONE N0. � ��j�`' .:" ' _ <br /> —T <br /> VALUE OF WORK �do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING �t° 7 _ <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 /> ��� �/`t�_ �G'�l/i`C✓' Gl��%'i' //e''!/J� <br /> SIGN�D" : �,��-���i��s.�` DATE � ` �'�jJ' <br /> / ' �' j� ;� <br /> NOTES AND COMMENTS: / j <br /> 6/10/87 <br /> 1928H <br />