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. <br /> . y v DATE: 3 /�G•%7 <br /> CITY OF EVERETT �5� <br /> ELECTRICAL WIRING PERMIT APPLICATION <br /> ' FEE: �_ <br /> �oe aeoREss � �3� <br /> 5 � - <br /> TENANT <br /> FROPERTY OWNER D b N i O <br /> ELECTRICAL CONiRACTOR l�/L[ L`-S %�-- � 1� i — <br /> LICE�SE N0. ��0�-'' �'�5 /� Z- 4 � �' �r <br /> EXPIRATION DATE �2� > ��s� <br /> PHONE N0. � —�Z �'6 <br /> ADMZNIS7RATOR �2� G �- ����L�r'�" �' <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING /2 I� 5 � d'�``'� � <br /> NOTE: WAC 296-46-140 requires that plans for electrical work atthe u5tatenaof I <br /> institutional or health care facilities be approved by i <br /> befora a�City aoP Everett peimit will be issued show the State-approved plans <br /> WORK TO BE DONE: I <br /> � /c GUt T" - - � � I <br /> SIGNED :� GC / �,.-f� DATE i G' <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1928H <br />