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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />N <br />DATE: L <br />FEE: r_ <br />JOB ADDRESS• <br />TENANT <br />PROPERTY OWNER ELECTRICAL CONTRACTOR li�l1 %J >�s ^' I c 42 <br />LICENSE NO. f /1 / '$ $/�// S y CLc( EXPIRATIDN DATE <br />ADMINISTRATOR �/i �/ I l �1 S S- ^j PHOVE NO. <br />VALUE OF WORK (do not include taxes' <br />(for commercial work) <br />USE OF Bun.DING /wL:� A <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 />v'eG Sy✓clil /,S <br />SIGNED <br />NOTES ACID CGMMENTS: <br />6/10/87 <br />1928H <br />DATE 2 - ,7- i y � <br />