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CITY OF EVERETT DATE: S� '� - �y <br /> ELECTRICAL WIRING PERMIT APPLICATION <br /> FEE: �C�� <br /> JOB ADDRE55 g�'9 / <br /> T" .�i �✓ S' — <br /> TENANT f� � '� <br /> Fi20PERTY OWNER �roti �r� (_'� <br /> � /�/o � vr <br /> E�EI:TRICAL CONTRACTOR ,l„ �/trc �f i F�� ��� � ��' � <br /> LICENSE N0. ,Z�Vj�,C,L' /� .�� /�� EXPIRATION GATE <br /> ADMINISTRATOR /j // LL�,�_ PHONE N0. � 3�/�9 3 �� <br /> VALUE OF WORK (do not include taxes) <br /> (Yor commercia work <br /> USE OF BUILDII�G �CSi�r'.� � C' <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or heal?h care facilities be approved by the State of <br /> Washington. Npplicants 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 /> ��orr r �s <br /> i, `�P e <br /> Uv �f S <br /> . j�/ �l ��^'� DATE S'= J��� <br /> SIGNED .il� / <br /> NOTES AND COP4MENT5: <br /> 6/10/87 <br /> 19221i <br />