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CITY OF EVE32ETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />�oe aooaEss Id�f� � /03 n�l. <br />TENANT <br />fiiOPERTY OWNER �/�� <br />C_'0 /7 1� �n l � <br />ELECTRICAL CONTrtACTOR ��n.t(a1.f� <br />LICENSE N0. T �JTS.11 �_�T /4S! <br />� <br />carE: ��J� . I I , IC �'� <br />FEE: �O•U n <br />FxPIRATION D,9TE /O/3� <br />AOMINISTRATOR �j�, ,�(��e(� PHONE NU. ��LJ -�' G� y <br />VALUE OF WORK ido 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 pla�s <br />before a City of Everett permit will be issued. <br />WURK TU BE DONE: <br />SiGNED : ��l/i/17/t .�\llLld �I J DAT[ ��� I�1�j� <br />NOTES AhC CL'��htEP�TS: <br />� J 10/87 <br />� �l)FH <br />