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� <br />CITY OF EVFRETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />FROPERTY OWNER <br />DATE: d���l. I'7'�I <br />hEE: �D�— <br />� .�� � i.., � !/[� <br />ELECTRICAL CONTRACTOR <br />LZCENSE N0. �JSSTC�C�iF�O�''JN EXPIRATION DATE ��•Q3 <br />ADMINISTRATOR �AA� I- '�'i�LCZ� PHONE t�. 3hS'(�Iii�L— <br />VALUE OF WORK� � (do not include taxes) . <br />(Por commercia wor ' <br />USE OF BUILDIt� �f�Ac\l._ <br />NOTE: WAC 296-46-140 requires that plans Por electrical work at educational, <br />institutional or hea'th care Pacilities be a�proved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City oP Everett permit will be issued. <br />WORK TO BE DONE: <br />■ �. + �'.� �C .�_L � . � � � � �-- � <br />,. � �,:� ► Z �.L�. � _ _ . � .� . �. :..�, r.� � <br />SIGNED : <br />NOTES ArA <br />6/].D/87 <br />19i8H <br />DATE I� •%•�I <br />