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CITY OF EVERE17 <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS t�O <br />TENANT <br />r -"h <br />DATE: <br />FEE: '35.0-0 <br />1`ET" ST SVV LV_-V_E f _ ( Mo f 43` <br />PROPERTY OWNER D1 �4- QP� OLL(t <br />ELECTRICAL CONTRACTOR - (�[ L <br />LICENSE NO. HISS rho 1`�-1 cL_ EXPIRATION DATE (a - 3b- <br />ADMINISTRATOR S PHONE NO. <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 />WI(_L 11,=�V CE'S- 200 Pi. <br />SIGNED <br />NOTES AND COMMENTS <br />6/10/87 <br />1928H <br />DATE 5" C Z- b b <br />