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CITY OF EVERETT DATE: /I <br /> ELECTRICAL WIRING PERMIT APPLICATION —�-f-"' FEE: = <br /> JOB ADDRESS l o 6 Gin Tl' s_ mj <br /> TENANT 7� <br /> PROPERTY OWNER <br /> ELECTRICAL CONTRACTOR i mOeJ. Co. <br /> LICENSE NO. ST L I° EI F C I Lod, P EXPIRATION DATE <br /> ADMINISTRATOR 7 PHONE NO. <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING nrinl Pik <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 of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> SIGNED /�a(sit� /(/, rdJ1i1Q / DATE <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1926H <br /> i <br /> I <br /> i <br />