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i <br /> CITY OF EVERETT DATE: � — //- �` � _ <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: ,� ��_ <br /> '� JOB ADDRESS � y'7-"7 -- /O U � a �O/ • � � (� 3 <br /> TENANT <br /> FROPERTY OWNER <br /> ELECTRICAL CONIRACT�R � <br /> LICENSE N0. EXPIRATION DATE (O�� S� <br /> ADMINISTRATOR ('n!d� � ti� �P� PHONE N0. _ i 7 �6 - 7.3 d� <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING � , <br /> NOTE: WAC 296-46-140 requires that plans for electrical work �t educational, <br /> institut�onal or health care facilities be approved uy the State of <br /> Washington. Applicants wfth such ,jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> YIOR�BE DO`-��� 1 � <br /> / � <br /> SIGNLD : DATE � <br /> N07E5 AhD C0�4MEN <br /> 6/10/87 <br /> 192FH <br />