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CITY OF EVEREI7 oaTE: FEE: —_ <br /> ELECTRICAL WIRING PERMIT APPLICATION <br /> JOB ADDRESS -717 !oO s+ 5 cJ t (h —�— <br /> TENANT <br /> PROPERTY OWNER Q Frac IC <br /> G l a <br /> ELECTRICAL CONTRACTOR S+C.° h rtLICENSE NO. g131 �S9 <br /> PHONE NO. <br /> P3 EXPLRATION DATE <br /> ACMINISTRATCR r" <br /> S Er pI1 Cln 5 `6�S'124 <br /> (do not include taxes) <br /> VALUE OF WORK <br /> (for commercia worK) <br /> USE OF BUILDING <br /> Tans for electrical r by Statenalop <br /> NOTE: WAC 246-46-140 requires that P roved plans <br /> institutional or health care facilities be approved <br /> Washington. Applicants withuwill be issued.Must Show the State-app <br /> before a City of Everett permit <br /> WORK TO BE DONE: <br /> ScYv� c <br /> DATE <br /> SIGNED <br /> NOTES ANO CCMME`ITS: <br /> 6/10/87 <br /> 192EH <br /> I <br /> I <br />