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CITY OF EVERETT DATE: r � � <br /> ELECTRICNL WIRIN� PERMIT APPLICATION FEE: <br /> JOB ADDRESS /�� / /�� � " �� ���,I-'l.v J " <br /> .-_� <br /> TENANT <br /> FROPERTY OWNER <br /> ELECTRICA� CONTr2Ai'TOR <br /> LICENSE N0, _ EXPIRATION DATE <br /> ADMINISTRATOR PHONE N0. <br /> VALUE OF WqiK �J� = <br /> �"o` (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants with such ,jobs must show the State-approved plans <br /> . before a City �f Everett permlt will be issue�. <br /> WORK TO 8 D NE: � � I�,^."`^"' <br /> , <br /> . <br /> SIGNED : DATE � � <br /> MOTCS AND C0�4M NTS• <br />� 6/10/87 <br />' 192L'I i <br /> I <br />