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CITY OF EVERETT <br />ELECiRICAL WIRING PERMIT APPLICATION <br />D��TE: � / <br />FEE: J S (�- <br />JOB ADDRESS �7 �f — •�� ��/� S� ' � <br />TENANT ��EB9(�E� �����Os�/%%�:f�/ <br />T�rERTY OWNER <br />� <br />ELECTRICAL CONTRACTOR 1d%/��L'� �JG%/� L L��Z ✓'� L�%� <br />LICENSE N0, f��DI�F� S.3�I�O EXPIRATION DATE _ <br />ADMINISTRATOR �� � /il'Ji%F/�� PHONE N0. a�� - �y9� <br />VALUE OF WORK (do not include taxes) <br />(Por commercia work <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires <br />institutional or healt <br />Washington. Applicants <br />before a City of Everett <br />WORK TO 8E DONE: <br />that plans for electrical work at educational, <br />h care facilities be approved by the State of <br />with such jobs must show the State-approved plans <br />peimit wil] be issued. <br />� � i�%G�. <br />SIGNED : DATE � � <br />NOTES APD COMMENTS: <br />6/10/87 <br />1928H <br />