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P' -:k <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT AFPLTCATION <br />DATE: <br />FEE: <br />JOB ADDRESS /7/;2 S / o 0,P S F, SIyE . <br />n TENANT .�/' i= i4 '— ! (ic /''Tia c" r' sr <br />PROPERTY OWNER �,,i+r//� <br />ELECTRICAL CONTRACT'ORR Z:2! J LloC <br />LICENSE NO. 7 9 e,7 EXPIRATION DATE <br />ADMINISTRATOR "' �,44&/" C/- FNANE NO. <br />VALUE OF WORK 1 "n'' (do not include taxes) <br />(for commercial work7' <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 />SIGNED : /����/^- DATE 7—e_1_ <br />NOTES AND COMMENTS: <br />6/10/87 <br />192EH <br />