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i <br /> ( <br /> i <br /> � <br /> ci-rv oF EVE,�Err oAre: .3 --� .� -�S� y `"� <br /> �I �4 . <br /> ELECTRZCAL WIRING PERMIT APPLICATION FEE: I =';_�� <br /> I <br /> - ��s ' <br /> JOB ADDRE55 � �f��� ���-i/`�' 2� �f-�G� I '`A:-� <br /> %� <br /> TENANT <br /> FftOPERTY OWNER , ��G.�fl�i -y�� ��� <br /> ELECTRICAL CONiRACTOR �`�)�jrl/�_ <br /> LICE�SE N0. EXPIRATION �ATE <br /> ADMINIS7RA'fCR PFONE N0. �%,2 —9/O,S „ <br /> a <br /> VALUE OF WCRK (do not include taxes) <br /> (for commarcia work <br /> USE OF BUILQItJG <br /> i',i <br /> xt <br /> NOTE: WAC 296-46-140 r=quires thzt plans for electrical work at educational, ! -� <br /> institutional or health care facilities be approved by the .State of � : '�� <br /> Wa=_iington. Applicants with such jobs must show the State-approved plans iw <br /> ber"ore a City oP Everett pexmit wi11 be issued. I ;� <br /> � 1, <br /> „ <br /> WORK TO BE OONE: <br /> .��.,�� �� �' <br /> , :� <br /> � <br /> � <br /> `, ,rF <br /> I '�_ li ;:i <br /> ` � � � —�'� <br /> SIGNED y��.��i���� _ �ATE � <br /> NOTES AtvD COMM�lTS: , i <br /> _,�G <br /> I <br /> I <br /> � �_'�� <br /> � <br /> ;.4 <br /> , <br /> 6/10/87 <br /> 192EH <br /> ' <br /> � <br />