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CITY OF EVEREI7 <br /> DATE; �i_5_� <br /> ELECTRICAL NIRING PERMIT qpp�ICATION .1�~ <br /> F�.E: ,.,��� <br /> --z+�� <br /> — JOB ADDRESS � <br /> _ � � i/y i.�� �� . !�' <br /> � f, i <br /> TENANT � /'���.��� �1 � , ;,�/ <br /> _ RiOPERTY OWNFA � _' t c`� �;� J/'!c / ( <br /> — ELECTRICAL CONTRACTOR � `��� � l , <br /> — LICENSE N0. R �vi�l 12 � i � <br /> " EXPIRqTIpN DA7E <br /> — AOMINISTRATJR ►� ,.,� Mr� � <br /> PHONE Np, <br /> VALUE OF WpryK <br /> (Por comnercia work (do not include taxes) <br /> USE OF BUILOING ) ' <br /> �l� �, � , . ; <br /> NOTE: WAC 296-,h6-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> beforea�L'Ity of Ei er tt permit vill besissued show the State-approved plans <br /> WORK TO BE DONE: <br /> • � ) <br /> / • + ' � c'yr� <br /> SIGNED : I<'7:/�l�cc � / (�� _ � / <br /> t .i'iL cL �c DATE �J, � � <br /> NOTES APoD COMMENTS: <br /> 6/10/87 <br /> 1928H <br /> I <br />