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CITY OF EVERETT DATE: �J� � /9,E7 <br /> ELEC1?tICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADDRE55 u� � � ) - /n(� �H .� f[-�-I �Z8' _. <br /> TENANT <br /> PROPERTY OWNER �j�_�,Oo / I - <br /> 0.ECTRICAL CONTRACTOR ��YI n�,T7=a, �E I Pr Iv� r <br /> LICENSE N0. ]Z�11TQ � �� / �3 I��1�(� _ EXPIRATION DATE <br /> ADMINISTRAT�R PHONE �. _ <br /> VALUE OF WORK (do �iot include taxes) <br /> (for commercia wor <br /> USE OF BUILDING I`PS'I G /)f�( <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutioral or health care Pacilities be approved by the State of <br /> Washington. Applicants with such �obs must show the State-approved plans <br /> bePore a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> 1 Q � <br /> SIGNED : � a�ZC'� DATE I'��� � <br /> NOTES APD �OMMENTS: <br /> ✓ <br /> 6/10/87 <br /> 1928H <br />