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CITY OF EVERETT DATE: <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> t <br /> r JOB ADCRESS 1: l U �D r l7 <br /> f. <br /> y TENANT <br /> PROPERTY OWNER ��1✓!C� zG/l c <br /> ELECTRICAL CONTRACTOR Ili �s'S 5 /A) '����i-r <br /> L:CZNSE NO. �C/L/Y'SS /C� �3 �LKi E.<P:,4ATICN DATE �l d <br /> ACMINISTRATOR pnl , PHONE NO. <br /> VALUE OF WORK (do not include taxes) <br /> (for commercial waru) <br /> USE OF BUILDING /( PSC �LC�✓c.L <br /> NOTE: WAC 296-46-140 reauires 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 of Everett permit will be issued. <br /> I <br /> WORK TO BE DONE: <br /> SIGNED �{ +�t� ( Z�'^^J DATE <br /> NOTES A D CCMMCITS: <br /> 5/10/87 <br /> 1?2?H � <br /> t <br /> • I <br />