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CITY OF EVERETT ?�N <br />ELECTRICAL WIRING PERMIT APPLICATION <br />DATE: ef 5 <br />FEE: <br />JOB ALJRESS <br />TENANT ( d Al 5 j. �. <br />PROPERTY OWNER c�✓� .- <br />ELECTRICAL CONTRACTOR / 4�,O r/ jol C <br />LICENSE NO. 141f me P, % `6 EXPIRATION DATE <br />ADMINISTRATOR PHONE NO. S Z_ <br />VALUE OF WORK` '� (do not include taxes) <br />(for commercial 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 plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: �— <br />� <br />SIGNED : <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />DATE C7' U <br />