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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />� <br />DATE• I�^ 2��0 0 <br />FEE: <br />GD • <br />FROPERIY OWNER' --- <br />E1Ef,1RICAL CONTRACTOR 1� AMM� L%-U� �i�R LC . .— <br />LICENSE NO.�A���'��1 q� M EXPIRATION L�ATE ' _, <br />ADMINISiRATOR p_iGL 1-IM-`M�T'Z PHONE N0. SC� 8-�05 Z1 _ <br />VALUE OF WORK � OD �� _(do not include taxes) <br />(for comnercia�work , <br />USE OF BUILDING 1�.��(Q�'�'�� <br />NOTE: WAC 296-4E-140 requires that plans for electrical work at educational, <br />institutionai 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 peimit will be issued. <br />WORK TO BE DONE: <br />� f�P �o�.l� �a� ' <br />SIGNED : ' �"„'""^ DATE l � "Z--° �� <br />NOTES A1� COMMENTS: <br />6/10/87 <br />1920H <br />